UNSPSC 85492076: Bypass thoracic aorta to carotid with autologous venous tissue, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass thoracic aorta to carotid with autologous venous tissue, 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 021W49D

UNSPSC 85492076, Bypass thoracic aorta to carotid with autologous venous tissue, percutaneous endoscopic approach (Commodity), is a highly specialized surgical procedure code that appears disconnected from actual state and local procurement activity in the available recent solicitations. The six posted opportunities spanning August to September 2026 include independent medical evaluation services for public safety disability determinations, surgical and medical procedure carve-out benefit programs for municipal employee health plans, occupational medical surveillance for state ferry system employees, emergency and specialty healthcare for detained youth, pharmacy benefit management for county employees, and temporary health professional staffing for a county health system. None of these solicitations directly reference the specific aortic bypass procedure named in the code, nor do they procure cardiovascular surgical implants, devices, or procedure-specific services aligned with the code's clinical scope.

The recent activity under this code reflects a fundamental mismatch: state and local procurement offices are using this code to tag administrative healthcare management and clinical staffing services rather than the implantable devices or specialized surgical procedures the code nominally describes. The issuing bodies—municipal retirement offices, city health benefits programs, state transportation departments, county juvenile justice systems, county benefits administration, and county health systems—are procuring operational healthcare capacity, benefit administration, and occupational health compliance, not the bypass-graft procedures the code names. No recent opportunities support meaningful business development pursuit under this code's stated scope; the available data suggests either systematic misclassification in state and local procurement systems or use of the code outside its clinical taxonomy intent.