UNSPSC 85493719: Bypass left ventricle to left pulmonary artery with autologous venous tissue, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass left ventricle to left pulmonary artery 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 021L49R

UNSPSC 85493719 Bypass left ventricle to left pulmonary artery with autologous venous tissue, percutaneous endoscopic approach is a Commodity code, but the recent state and local contract opportunities posted under this code show little alignment with the narrow surgical procedure it nominally describes. The opportunities span occupational medical surveillance, independent medical evaluations for pension disability determinations, pharmacy benefit management, temporary health professional staffing, surgical benefit carve-out programs, and emergency medical services for detained youth — none of which match the specific cardiovascular surgical intervention named in the code. State and local procurement offices appear to have tagged these opportunities with this code in error or as a placeholder; the mismatch suggests either data quality issues in the underlying taxonomy application or a fundamental misalignment between how this code is being used in practice and its intended scope.

The recent opportunities do reflect activity across state health systems, county benefits administration, municipal retirement offices, and a state transportation agency, with geographic presence in Arizona, California, Florida, Washington, and Texas. Representative recent solicitations include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (due October 16, 2026, maximum contract value $750,000 over five years), the Washington State Department of Transportation's RFP for occupational medical surveillance services (due October 9, 2026, pre-bid conference August 31, 2026), and the County of Santa Clara Health System's qualification vehicle for temporary health professional staffing across ancillary clinical categories (due October 7, 2026). Given the lack of substantive connection between the code's stated scope and the work actually being solicited, this code warrants investigation as a data quality issue rather than pursuit as a legitimate procurement segment.