UNSPSC 85492164: Bypass coronary artery, two sites from thoracic artery, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass coronary artery, two sites from thoracic artery, 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 02114ZC

UNSPSC 85492164 Bypass coronary artery, two sites from thoracic artery, percutaneous endoscopic approach is a Commodity code whose nominal scope describes a surgical procedure, yet the recent state and local opportunities posted under this code show little alignment with that clinical definition. The opportunities solicited—independent medical evaluation services for pension disability determinations, surgical benefit carve-out programs for health plans, occupational medical surveillance, emergency and specialty medical services for youth in detention, pharmacy benefit management, and temporary health professional staffing—span health plan administration, occupational medicine, and clinical staffing but do not involve coronary artery bypass procedures or the specific surgical intervention the code nominally describes. State and local issuers posting under this code include municipal retirement boards (City of Phoenix), city human resources departments managing employee health benefits (City of Long Beach, Collier County), state transportation agencies (Washington State Department of Transportation), county juvenile justice systems (Harris County), county health systems (Santa Clara County), and county procurement offices acting on behalf of healthcare consortiums (Collier County). The code shows minimal recent activity directly aligned with its Commodity-level clinical designation.

The geographic spread of recent postings includes Arizona, California, Florida, Washington, and Texas. Representative recent opportunities include the City of Phoenix Retirement Office seeking independent medical evaluation services for approximately 75 annual disability benefit applications (RFP RTMRFP26001, due October 16, 2026, with maximum contract value of $750,000 over five years), the Washington State Department of Transportation requesting occupational medical surveillance services across 14 WSF locations (RFP RFP20260825, due October 9, 2026, with a pre-bid conference on August 31, 2026), and the County of Santa Clara Health System establishing a qualified vendor pool for temporary health professional staffing across 13 ancillary clinical categories (RFQ RFSQHHSFY270052, due October 7, 2026). The mismatch between the code's nominal surgical scope and the actual work being procured—health benefit administration, occupational health screening, staffing services, and clinical support functions rather than coronary artery procedures—suggests either systematic miscoding by posting agencies or a fundamental misalignment between the code's definition and state and local procurement practice.