UNSPSC 85504359: Bypass left brachial artery to left lower arm artery with autologous venous tissue, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass left brachial artery to left lower arm artery 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 318094

UNSPSC 85504359 Bypass left brachial artery to left lower arm artery with autologous venous tissue, open approach is a Commodity code that describes a specific surgical vascular procedure; however, recent state and local contract activity posted under this code shows little alignment with the code's nominal scope. The recent opportunities tagged to this code instead cover occupational medical surveillance, disability benefit medical evaluations, pharmacy benefit management, surgical procedure carve-out networks, temporary health professional staffing, and specialty medical services for detained youth — none of which involve the vascular bypass procedure the code nominally describes. This indicates either a systematic misclassification of opportunities under the code or a fundamental mismatch between the code's technical medical definition and how state and local procurement offices are applying it in practice.

The issuing bodies pursuing medical and health services under this code identifier span county health systems (Santa Clara County), county commissioners' offices (Collier County), state transportation agencies (Washington State Department of Transportation), city retirement offices (City of Phoenix), municipal health departments (City of Long Beach), county probation departments (Harris County Juvenile Probation), and county human resources divisions. Geographic activity is distributed across Arizona, California, Florida, Texas, and Washington. Representative recent opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services due October 16, 2026 (RTMRFP26001), the Washington State Department of Transportation's RFP for occupational medical surveillance across 14 ferry locations due October 9, 2026 (RFP20260825), and Collier County's RFP for pharmacy benefit management services covering approximately 2,400 employees and 4,800 covered members (RFP 25-8414).