UNSPSC 85491421: Bypass coronary artery, three sites from left internal mammary with autologous arterial tissue, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass coronary artery, three sites from left internal mammary with autologous arterial tissue, open approach. This surgical intervention or procedure is listed in the World Health Organization's International Statistical Classification of Diseases and Related Health Problems or ICD-10 as code 02120A9

UNSPSC 85491421 Bypass coronary artery, three sites from left internal mammary with autologous arterial tissue, open approach is a Commodity code that nominally describes a specific surgical procedure, but recent state and local procurement activity under this code bears no relation to cardiac surgery — the opportunities tagged with this code are instead procuring occupational medical surveillance, disability benefit medical evaluations, specialty surgical networks through Centers of Excellence, pharmacy benefit management, temporary health professional staffing, and emergency medical services for youth in custody. The code shows substantial misalignment between its nominal scope and actual buying activity. State and local issuers using this code include county pension boards, county human resources departments, state transportation agencies, county juvenile probation departments, and county health systems, reflecting a fragmented buyer base across different functional areas within government rather than coordinated procurement of a specific surgical service line.

Geographic spread spans at least four states: Arizona (City of Phoenix Retirement Office), California (City of Long Beach and County of Santa Clara Health System), Washington (Washington State Department of Transportation), Florida (Collier County Board of County Commissioners), and Texas (Harris County Juvenile Probation Department). Representative recent opportunities include the Washington State Department of Transportation's request for proposals for occupational medical surveillance services across 14 ferry system locations statewide (RFP20260825, due October 9, 2026), the City of Phoenix Retirement Office's RFP for disability medical evaluation services (RTMRFP26001, due October 16, 2026), the City of Long Beach's RFP for surgical benefit carve-out and Centers of Excellence management for approximately 3,800 employees and retirees (HR26753, due October 7, 2026), and the County of Santa Clara Health System's RFQ to establish a qualified vendor pool for temporary health professional staffing across 13 ancillary clinical categories (RFSQHHSFY270052, due October 7, 2026). The code appears to be a taxonomy mislabeling issue rather than an active procurement category aligned with its stated definition, and pursuit should verify that opportunities tagged with this code are substantively within the firm's scope before investing in bid preparation.