UNSPSC 85493000: Myocardium chambers heart and related structures, open approach-part A

This class includes one or more of 22 standard surgical interventions or procedures on myocardium and chambers of the heart and related structures with open approach. These surgical interventions or procedures are listed in the World Health Organization's International Statistical Classification of Diseases and Related Health Problems or ICD-10 PCS under code 02.

UNSPSC 85493000 Myocardium chambers heart and related structures, open approach-part A (Class) shows a significant mismatch between the code's nominal medical taxonomy and the actual state and local procurement activity recently posted under it. Recent opportunities tagged to this code do not involve cardiac surgical procedures or myocardial interventions; instead, they span institutional and occupational health services including correctional-facility medical and pharmacy management, county pharmacy benefit management, virtual primary and urgent care, peer support services for mental health workers, and fire department medical direction. The issuing bodies are a county consolidated government (Muscogee County, Georgia), county boards of commissioners (Collier County and Monroe County, Florida), a county behavioral health department (San Mateo County, California), and a municipal fire department (Santa Monica, California). This represents a fragmented mix of counties, municipalities, and special health districts rather than health systems or surgical service providers that would typically manage cardiac operations. The scope of work across recent solicitations centers on occupational health, population health management, and emergency medical services administration rather than surgical or procedural cardiology.

Geographic spread includes Georgia, Florida, and California, with no concentrated activity in any single jurisdiction. Representative recent opportunities include the Columbus Consolidated Government's RFP No. 26-0008 (posted April 15, 2026, due May 15, 2026) for comprehensive inmate medical and pharmacy services at Muscogee County Prison covering approximately 576 inmates, with current monthly costs of $95,537.71 and a two-year term with three optional one-year renewals; Collier County Board of County Commissioners' RFP 25-8414 (posted April 9, 2026, due April 9, 2026) for pharmacy benefit management services covering approximately 2,400 enrolled employees and 4,800 covered members with historical annual pharmacy spending of approximately $8.7 million; and Monroe County Board of County Commissioners' RFP for virtual primary and urgent care services (posted March 14, 2026, due April 16, 2026) covering approximately 2,300 county members. The code's application to these opportunities suggests a taxonomy data quality issue rather than genuine alignment with cardiac procedure procurement.