UNSPSC 85492131: Bypass coronary artery, four or more sites from coronary vein with drug-eluting intraluminal device, 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 coronary vein with drug-eluting 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 213444

UNSPSC 85492131 Bypass coronary artery, four or more sites from coronary vein with drug-eluting intraluminal device, percutaneous endoscopic approach is a Commodity code that does not align with the recent state and local contract opportunities posted under it. The code nominally describes a specific surgical procedure with implantable medical devices; however, the six recent solicitations in the source material span occupational medical surveillance, pharmacy benefit management, temporary health professional staffing, specialty procedure carve-outs, emergency medical services for youth in custody, and independent disability medical evaluations—none of which involve coronary bypass procedures or device placement. This mismatch indicates that the code has been misapplied to health care administration and staffing services rather than the surgical intervention it names.

The issuing bodies across these opportunities include county governments (Harris County, Collier County, Santa Clara County), city retirement offices (Phoenix), state transportation agencies (Washington State Department of Transportation), and regional health systems. Geographic activity is scattered across Arizona, California, Florida, and Washington, with no concentration in a single region. Representative recent opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (due October 16, 2026, $750,000 over five years), the Washington State Department of Transportation's occupational medical surveillance RFP for ferry system employees (due October 9, 2026), and Collier County's pharmacy benefit management RFP (initially posted with an April 2026 deadline, now apparently extended). The code shows little relevant recent activity for the surgical procedure it nominally describes.