UNSPSC 85493142: Excision of left atrial appendage, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to excision of left atrial appendage, open 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 02B70ZK

UNSPSC 85493142 Excision of left atrial appendage, open approach is a Commodity code that nominally describes a specific surgical procedure, but the recent state and local procurement activity tagged under this code shows no alignment with cardiothoracic surgery or any medical procedure. The opportunities posted under this code instead cover healthcare administration and management services — inmate medical and pharmacy services for a county correctional facility, pharmacy benefit management for a county employee health plan, virtual primary care and urgent care services for county members, peer support services for behavioral health workers, and fire department medical direction. None of these solicitations involve surgical intervention or cardiothoracic care. The code appears to have been applied as a catchall tag for healthcare-related procurements despite the fundamental mismatch between the code's clinical scope and the operational and administrative services actually being solicited.

The issuing bodies are primarily county governments and special-purpose health authorities: the Columbus Consolidated Government's Finance Department (Georgia), Collier County Board of County Commissioners (Florida), Monroe County Board of County Commissioners (Florida), San Mateo County Health and Behavioral Health Recovery Services (California), and the Santa Monica Fire Department (California). The recent opportunities span Georgia, Florida, and California, with the largest dollar value identified at $8.7 million annually for Collier County's pharmacy benefit management. The representative opportunities include Muscogee County Prison's inmate medical and pharmacy services RFP (due May 15, 2026), Collier County's pharmacy benefit management RFP (due April 9, 2026), Monroe County's virtual primary and urgent care RFP (due April 16, 2026), San Mateo County's peer support for peer workers RFP (due July 2, 2025), and Santa Monica Fire Department's medical director RFP (due October 16, 2025). The code's use for healthcare administration and service delivery rather than surgical procedures signals either systematic miscoding in state procurement systems or a broader taxonomy gap — business development professionals should verify code alignment with issuing bodies before pursuing these opportunities, as the nominal scope bears no relation to the work being competitively procured.