UNSPSC 85492058: Bypass thoracic aorta to left pulmonary artery with nonautologous tissue substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass thoracic aorta to left pulmonary artery with nonautologous tissue substitute, 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 021W4KR

UNSPSC 85492058 Bypass thoracic aorta to left pulmonary artery with nonautologous tissue substitute, percutaneous endoscopic approach is a Commodity code. The recent state and local contract opportunities tagged to this code show little alignment with its nominal surgical-procedure scope; instead, they reflect a pattern of health-system procurement around occupational medical surveillance, independent medical evaluations for disability determinations, pharmacy benefit management, surgical care carve-outs, temporary health professional staffing, and emergency medical services for detained youth. These opportunities reveal that state and local governments use this code taxonomy inconsistently when buying clinical services, administrative health programs, and staffing. The issuing bodies span city retirement offices (City of Phoenix), county health systems and commissions (Santa Clara County Health System, Collier County Board of County Commissioners, Harris County Juvenile Probation Department), state transportation agencies (Washington State Department of Transportation), and municipal employee benefit programs (City of Long Beach). None of the recent opportunities appear to involve the specific surgical procedure named in the code.

Geographic activity is concentrated in the Southwest and West: Arizona (City of Phoenix, RFP posted September 16, 2026, due October 16, 2026, $750,000 maximum over five years for independent medical evaluation services); California (Santa Clara County Health System, RFQ posted July 7, 2026, due October 7, 2026, for temporary health professional staffing; City of Long Beach, RFP posted August 26, 2026, due October 7, 2026, for surgical care carve-out benefits); Florida (Collier County Board of County Commissioners, RFP posted August 20, 2026, for pharmacy benefit management services); Washington (Washington State Department of Transportation, RFP posted August 25, 2026, due October 9, 2026, for occupational medical surveillance); and Texas (Harris County Juvenile Probation Department, RFI posted August 24, 2026, due September 25, 2026, for emergency and specialty medical services for detained youth). Pursuit under this code carries elevated classification risk; the mismatch between the code's stated scope and the actual health-system and administrative services being bought suggests either vendor tagging error or broad organizational use of the code as a placeholder for clinical-service procurement across a range of modalities.