UNSPSC 85492021: Dilation of coronary artery, four or more sites, bifurcation, with intraluminal device, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to dilation of coronary artery, four or more sites, bifurcation, with intraluminal device, percutaneous endoscopic 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 02734D6

UNSPSC 85492021 (Dilation of coronary artery, four or more sites, bifurcation, with intraluminal device, percutaneous endoscopic approach) is a Commodity code that shows a mismatch between its nominal scope—a specific interventional cardiology procedure—and the actual work state and local governments are buying under this code designation. The recent opportunities posted under 85492021 do not involve coronary interventions or any of the clinical elements the code describes. Instead, they span occupational health surveillance, disability medical evaluations, pharmacy benefit management, temporary clinical staffing qualification pools, surgical care-center-of-excellence networks, emergency services for youth in custody, and other health plan administration functions. The issuing bodies include state departments (Washington State Department of Transportation), counties (Harris County, Collier County, Santa Clara County), and cities (Phoenix, Long Beach), indicating broad jurisdictional use of the code for general health services procurement rather than a specialized cardiac procedure category.

The geographic spread includes Arizona, California, Florida, Texas, and Washington, with no dominant concentration. Representative recent opportunities include the City of Phoenix Retirement Office's independent medical evaluation services RFP (RTMRFP26001, due October 16, 2026), which seeks disability medical record summary and examination coordination for approximately 75 annual public safety retirement applications at $750,000 over five years; the Washington State Department of Transportation's occupational medical surveillance services RFP (RFP20260825, due October 9, 2026, with pre-bid August 31, 2026), which requires baseline and periodic occupational health exams across 14 ferry system locations; Collier County's pharmacy benefit management RFP (258414, originally due April 9, 2026), covering 2,400 employees with historical annual spending near $8.7 million; and the County of Santa Clara Health System's temporary health professional staffing qualification vehicle (RFSQHHSFY270052, due October 7, 2026) across ancillary clinical categories. The code appears to be used as a catch-all health services designation rather than for its intended cardiac procedure scope, limiting its precision as a buyer-intent signal for firms targeting specific clinical or procedural services.