UNSPSC 85492191: Bypass coronary artery, two sites from right internal mammary with autologous venous tissue, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass coronary artery, two sites from right internal mammary 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 211498

UNSPSC 85492191 Bypass coronary artery, two sites from right internal mammary with autologous venous tissue, percutaneous endoscopic approach is a Commodity code that nominally describes a specific surgical procedure; however, recent state and local solicitations tagged under this code do not reflect cardiovascular surgical services. Instead, the opportunities posted under this code span occupational health surveillance, disability medical evaluations, pharmacy benefit management, health plan benefit carve-outs, temporary clinical staffing, and emergency medical services for detained youth. The scope mismatch indicates either coding classification error in the issuing bodies' procurement systems or that the code is being misapplied to broader healthcare services. State and local buyers posting under this code include county commissioners' offices (Collier County, Harris County), county health systems (Santa Clara County Health System), city retirement offices (City of Phoenix), transit authorities (Washington State Department of Transportation), and municipal employment benefit programs (City of Long Beach).

Recent activity spans six jurisdictions with no geographic concentration. The most concrete opportunities include the City of Phoenix Retirement Office's request for independent medical evaluation services for public safety disability determinations (RFP, due October 16, 2026, $750,000 over five years); the Washington State Department of Transportation's occupational medical surveillance services for ferry system employees across 14 locations (RFP, due October 9, 2026, cost-based evaluation); the City of Long Beach's surgical procedure carve-out benefit program for its Anthem PPO plan (RFP, due October 7, 2026, contract execution targeted for April 1, 2027); Collier County's pharmacy benefit management services covering approximately 2,400 employees and 4,800 covered members (RFP, $8.7 million historical spend, due April 9, 2026); Santa Clara County Health System's temporary health professional staffing pool across 13 ancillary clinical categories (RFP, due October 7, 2026, non-exclusive multiple-award); and Harris County Juvenile Probation Department's RFI for emergency and specialty medical services for detained youth (due September 25, 2026). The coding inconsistency suggests caution in relying on this code as a reliable signal for targeted procurement pipeline development.