UNSPSC 85491615: Bypass coronary artery, one site from left internal mammary with synthetic substitute, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass coronary artery, one site from left internal mammary with synthetic substitute, 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 02100J9

UNSPSC 85491615 Bypass coronary artery, one site from left internal mammary with synthetic substitute, open approach is a Commodity code that shows minimal alignment between its nominal scope—a specific surgical procedure—and the actual work state and local governments are soliciting under this tag. The recent opportunities posted against this code span occupational medical surveillance, independent disability medical evaluations, pharmacy benefit management, temporary health professional staffing, surgical procedure carve-out programs, and inpatient emergency medical services for detained youth. None of these services involve coronary artery bypass surgery or the procedural code's clinical specification. The issuing bodies include county health systems, county procurement offices, municipal retirement boards, state departments of transportation, county juvenile probation departments, and cities. The mismatch between the code's procedural specification and the actual buying activity suggests either systematic miscoding in state and local procurement systems or use of this code as a catch-all for medical services outside its intended commodity scope.

Recent opportunities appear across Arizona, California, Florida, Texas, and Washington. The City of Phoenix Retirement Office is seeking independent medical evaluation services for disability determinations under a five-year contract with a $750,000 ceiling, due October 16, 2026. The City of Long Beach is requesting proposals for a surgical procedure carve-out program serving 3,800 employees and retirees across knee, hip, spine, heart, and oncology procedures, due October 7, 2026. The Washington State Department of Transportation is procuring occupational medical surveillance services across 14 Washington ferry system locations with a two-year term and extension options, due October 9, 2026. Collier County in Florida issued an RFP for pharmacy benefit management services covering 2,400 employees with historical annual spending near $8.7 million and an April 9, 2026 submission deadline. The County of Santa Clara Health System in California is establishing a qualified vendor pool for temporary ancillary health professional staffing across 13 clinical categories, due October 7, 2026. The systematic presence of medical administrative and occupational health services under this surgical procedure code indicates either widespread data-quality issues in state and local procurement coding or intentional use of this code for broad medical contracting—either pattern warrants clarification before pursuit.