UNSPSC 85501447: Replacement of left internal carotid artery with nonautologous tissue substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to replacement of left internal carotid artery with nonautologous tissue substitute, 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 03RL4KZ

UNSPSC 85501447 Replacement of left internal carotid artery with nonautologous tissue substitute, percutaneous endoscopic approach is a Commodity code that does not reflect the scope of work state and local governments are actually buying under this tag. Recent opportunities posted against this code bear no connection to vascular surgery procedures; instead, they span occupational medical surveillance, pharmacy benefit management, disability medical evaluations, surgical benefits carve-outs, and temporary health professional staffing — administrative, occupational health, and benefits management services rather than surgical interventions.

The mismatch between the code name and current procurement activity suggests either a systematic tagging error in state and local procurement systems or that this code has been repurposed for health services procurement in ways the UNSPSC taxonomy does not support. Geographic activity appears concentrated in the Southwest and West: Phoenix (City of Phoenix Retirement Office, independent medical evaluation services for pension disability determinations), Long Beach (surgical and medical procedure carve-out benefits), Tacoma and statewide Washington (Washington State Department of Transportation occupational medical surveillance), Harris County Texas (youth detention medical services), and Collier County Florida (pharmacy benefit management). Santa Clara County, California also posted a temporary health professional staffing vehicle. No standardized contractual vehicle, repeat buyer pattern, or recognizable service category emerges that would guide vendor strategy under this code's nominal title.