UNSPSC 85492121: Bypass coronary artery, four or more sites from thoracic artery with autologous arterial tissue, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass coronary artery, four or more sites from thoracic artery with autologous arterial 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 02134AC

UNSPSC 85492121 Bypass coronary artery, four or more sites from thoracic artery with autologous arterial tissue, percutaneous endoscopic approach is a Commodity code that in recent state and local practice does not reflect the purchasing activity actually tagged under it. The recent opportunities filed under this code span independent medical evaluation services for disability retirement determinations, occupational medical surveillance for ferry system employees, specialty surgical carve-out networks for municipal employee health plans, pharmacy benefit management, temporary health professional staffing pools, and emergency/specialty medical services for detained youth — none of which involve coronary bypass surgery or any surgical procedure. The issuing bodies include city retirement boards (Phoenix), state transportation departments (Washington State Department of Transportation), county health systems (Santa Clara), county probation departments (Harris County), and municipal employee benefits offices (Long Beach), reflecting a mix of retirement administration, occupational health, public employee health benefits, and detention health services. The code appears substantially misaligned with its nominal clinical scope and shows no recent state or local procurement activity for the cardiac surgical procedure its UNSPSC title describes.

The recent opportunities cluster across Arizona (Phoenix Retirement Office RFP for independent medical evaluation services, due October 16, 2026), Washington (WSDOT RFP for occupational medical surveillance at 14 ferry system locations, due October 9, 2026), California (City of Long Beach RFP for specialty surgical carve-out networks, due October 7, 2026; Santa Clara County Health System RFP for temporary health professional staffing, due October 7, 2026), Florida (Collier County RFP for pharmacy benefit management with historical annual spending near $8.7 million, deadline April 9, 2026), and Texas (Harris County Juvenile Probation Department RFI for emergency and specialty medical services for detained youth, due September 25, 2026). The code's tagging at the Commodity level does not appear to reflect deliberate procurement categorization; misalignment between the code's surgical-procedure title and the administrative, staffing, and benefits-management work actually being solicited suggests either data entry error or a systemic mislabeling issue within the state and local opportunity feed.