UNSPSC 85492123: Bypass coronary artery, four or more sites from right internal mammary 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 right internal mammary 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 02134A8

UNSPSC 85492123 Bypass coronary artery, four or more sites from right internal mammary with autologous arterial tissue, percutaneous endoscopic approach is a Commodity code that nominally describes a specific surgical procedure, but recent state and local procurement activity under this code shows little alignment with that narrow scope. The opportunities posted across the code span independent medical evaluation services for pension disability determinations, surgical benefit carve-out programs for municipal employees, occupational medical surveillance for transportation workers, emergency and specialty medical services for detained youth, pharmacy benefit management administration, and temporary health professional staffing. None of these solicitations reference the specific cardiac surgical procedure named in the code. The issuing bodies include city pension boards, municipal human resources departments, state transportation agencies, county probation departments, county health systems, and county commissioners' offices—a mix spanning city, county, and state entities with no standout repeat buyers in the recent record.

Geographic activity appears scattered across Arizona, California, Florida, and Washington, reflecting the dispersed nature of municipal and county health administration rather than concentration in any single region. Representative recent opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (RTMRFP26001, due October 16, 2026) providing disability medical record review and physician examination coordination for approximately 75 annual pension applications at a maximum contract value of $750,000 over five years; the City of Long Beach's RFP for surgical benefit carve-out management (HR26753, due October 7, 2026) offering pre- and post-care networks for knee, hip, orthopedic, shoulder, spine, heart, weight loss, and oncology procedures; and the Washington State Department of Transportation's RFP for occupational medical surveillance services across 14 ferry system locations (RFP20260825, due October 9, 2026, with a pre-bid conference on August 31, 2026). The code assignment appears inconsistent with actual procurement content, suggesting either miscoding at source or a data quality issue rather than genuine market activity for the specific cardiac procedure the code nominally describes.