UNSPSC 85491422: Bypass coronary artery, three sites from right 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 right 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 02120A8

UNSPSC 85491422 Bypass coronary artery, three sites from right internal mammary with autologous arterial tissue, open approach is a Commodity code that nominally denotes a specific cardiac surgical procedure; however, recent state and local contract opportunities show minimal alignment with this narrow medical-procedure classification. The solicitations posted under this code span occupational medical surveillance, independent medical evaluations for pension disability determinations, surgical benefit carve-out programs, pharmacy benefit management, temporary health professional staffing, and emergency medical services for detained youth — none of which constitute bypass coronary artery procedures. This code appears to reflect a categorical mismatch between the UNSPSC taxonomy label and the actual scope of work being procured by state and local agencies.

The issuing bodies range across county health systems, city retirement offices, state transportation departments, county juvenile probation, and county human resources divisions, with no consistent pattern suggesting systematic procurement of cardiac surgical procedures. Geographic activity spans Arizona, California, Florida, and Washington, but the recent opportunities do not reflect acquisition of the specific procedure named in the code. State and local procurement activity under this code shows little relevant recent volume; the recent opportunities in the record (Phoenix's independent medical evaluations RFP, Long Beach's surgery benefit carve-out RFP, WSDOT's occupational medical surveillance RFP, Santa Clara Health System's temporary health professional staffing RFSQ, Collier County's pharmacy benefit management RFP, and Harris County Juvenile Probation's emergency medical services RFI) do not constitute direct procurement of bypass coronary artery procedures and appear to have been cross-tagged to this code in error.