UNSPSC 85493221: Bypass left ventricle to pulmonary trunk with autologous venous tissue, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass left ventricle to pulmonary trunk with autologous venous tissue, 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 021L09P

UNSPSC 85493221 Bypass left ventricle to pulmonary trunk with autologous venous tissue, open approach is a Commodity code that describes a specific cardiac surgical procedure, yet recent state and local contract opportunities tagged under this code show little alignment with its nominal scope. The solicitations instead cover occupational medical surveillance, independent medical evaluations for disability determinations, pharmacy benefit management, temporary health professional staffing, surgical procedure carve-out networks for government employee benefits, and emergency medical services for detained youth — none of which involve the cardiac bypass procedure the code nominally describes. State and local procurement offices appear to be using this code as a catch-all for health services and medical administration contracts rather than for the specific surgical intervention the taxonomy intends.

The geographic spread of recent activity includes Washington State (Washington State Ferries occupational medical surveillance), Arizona (City of Phoenix disability evaluations), California (City of Long Beach surgical benefits and Santa Clara County health professional staffing), Florida (Collier County pharmacy benefit management), and Texas (Harris County juvenile detention medical services). Issuing bodies range across state agencies, county human resources and procurement divisions, municipal retirement boards, and county health systems. Representative opportunities include the Washington State Department of Transportation's RFP for occupational medical surveillance services across 14 ferry locations with proposals due October 9, 2026, the City of Phoenix Retirement Office's RFP for disability medical record review and independent medical examinations with a maximum contract value of $750,000 over five years and proposals due October 16, 2026, and the City of Long Beach's RFP for surgical procedure carve-out benefits through Centers of Excellence with proposals due October 7, 2026. No recent opportunities in this code reflect the specific cardiac surgical procedure named in the taxonomy.