UNSPSC 85493737: Bypass right ventricle to left pulmonary artery with autologous arterial tissue, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass right ventricle to left pulmonary artery with autologous arterial 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 021K4AR

UNSPSC 85493737, "Bypass right ventricle to left pulmonary artery with autologous arterial tissue, percutaneous endoscopic approach," is a Commodity code that shows minimal alignment between its nominal scope—a highly specialized surgical procedure—and the state and local contract opportunities recently posted under it. The recent solicitations tagged to this code are purchasing occupational medical surveillance, pharmacy benefit management, temporary health professional staffing, independent medical evaluations for disability retirement determinations, specialty surgical procedure carve-out benefits for municipal employees, and emergency medical services for youth in detention. None of these services match the specific cardiac surgical intervention named in the code. State and local procurement offices appear to be using this code as a catch-all for clinical services and health-related contracting rather than for the narrow procedural specification the code nominally describes.

The issuing bodies include state departments (Washington State Department of Transportation, on behalf of Washington State Ferries), county governments (Harris County, Collier County, Santa Clara County), municipalities (City of Phoenix, City of Long Beach), and regional health systems. Recent activity spans Washington, Arizona, California, Florida, and Texas. Representative opportunities include the Washington State Department of Transportation's request for occupational medical surveillance services across 14 ferry system locations, due October 9, 2026 (RFP); the City of Phoenix Retirement Office's request for independent medical evaluation services for disability pension determinations, due October 16, 2026 (RFP); the County of Santa Clara Health System's non-exclusive qualified-vendor-pool solicitation for temporary health professional staffing across 13 clinical specialties, due October 7, 2026 (RFQ); and Collier County's request for pharmacy benefit management services covering approximately 7,200 covered lives with an estimated historical annual spend of $8.7 million, with a proposal deadline that has passed. The code shows no recent activity aligned with the specific cardiac surgical procedure its title describes, signaling either a data entry error at the issuing offices or a systematic miscoding of clinical services under this commodity designation.