UNSPSC 85491857: Bypass coronary artery, two sites from coronary vein with drug-eluting intraluminal device, percutaneous approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass coronary artery, two sites from coronary vein with drug-eluting intraluminal device, percutaneous 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 211344

UNSPSC 85491857 Bypass coronary artery, two sites from coronary vein with drug-eluting intraluminal device, percutaneous approach (Commodity) shows minimal alignment with actual state and local procurement activity under this code. The UNSPSC designation identifies a specific cardiovascular surgical procedure and implant device, yet the recent opportunities posted against it reflect occupational health surveillance, independent medical evaluation services, pharmacy benefit management, temporary health professional staffing, surgery center of excellence networks, and youth detention medical services—none of which involve coronary artery bypass procedures or drug-eluting stent placement. State and local buyers are using this code to tag medical and health administration services broadly rather than the narrow device category the code nominally describes. Issuing bodies include county health systems, city retirement offices, state departments of transportation, county probation departments, and municipal benefits offices—a diverse mix spanning occupational health, employee benefits administration, pension disability determinations, and detention healthcare.

Geographic activity appears concentrated in the Southwest and West, with solicitations from Arizona (Phoenix Retirement Office, RFP due October 16, 2026 for independent medical evaluation services; California (City of Long Beach, RFP due October 7, 2026 for surgery center of excellence; County of Santa Clara Health System, RFP due October 7, 2026 for temporary health professional staffing), Washington (Washington State Department of Transportation, IFB due October 9, 2026 for occupational medical surveillance), and Texas (Harris County Juvenile Probation Department, RFI due September 25, 2026 for emergency and specialty medical services). The mismatch between the code's procedural device scope and the actual work being solicited signals either systematic miscoding in state and local procurement systems or an artifact of how health systems and government agencies organize commodity hierarchies. Vendors pursuing work under this code should verify the actual scope of work in each solicitation rather than assuming alignment with the coronary procedure designation.