UNSPSC 85504360: Bypass left brachial artery to left upper 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 upper 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 318091

UNSPSC 85504360 Bypass left brachial artery to left upper arm artery with autologous venous tissue, open approach is a Commodity code nominally describing a specific vascular surgical procedure, yet recent state and local opportunities posted under this code do not solicit vascular bypass surgery or related medical devices. Instead, the code is being used to tag procurement for occupational medical surveillance, disability medical evaluations, pharmacy benefit management, emergency and specialty care for detained youth, surgical Centers of Excellence carve-out programs, and temporary health professional staffing. The mismatch between the code's procedure-specific name and the actual scope of work being bought suggests this code is either misapplied by issuing bodies or serves as a catch-all for diverse healthcare services that do not map cleanly to the surgical taxonomy. The buying mix includes state departments (Washington State Department of Transportation on behalf of Washington State Ferries), county systems (Santa Clara Health System, Collier County Board of County Commissioners, Harris County Juvenile Probation Department), and cities (City of Phoenix Retirement Office, City of Long Beach). Recent opportunities emphasize medical administration, benefits management, and occupational health compliance rather than operative care.

Activity is concentrated in the West and Southwest. Representative recent opportunities include the Washington State Department of Transportation's RFP for occupational medical surveillance services covering 14 Washington ferry terminals (proposals due October 9, 2026, with pre-bid conference on August 31, 2026); the City of Phoenix Retirement Office's RFP for independent medical evaluation and disability record summarization services for approximately 75 annual pension disability applications (proposals due October 16, 2026, with maximum compensation of $750,000 over five years); the City of Long Beach's RFP for a surgical and medical procedure carve-out benefit program offering Centers of Excellence for orthopedic and specialty procedures to approximately 3,800 employees and retirees (proposals due October 7, 2026, contract execution targeted for April 1, 2027); Collier County's RFP for pharmacy benefit management services covering approximately 2,400 employees and 4,800 covered members with historical annual spending of $8.7 million (now-closed opportunity with April 9, 2026 deadline); the County of Santa Clara Health System's RFP to establish a qualified vendor pool for temporary health professional staffing across 13 clinical support categories (proposals due October 7, 2026, non-exclusive multiple-award vehicle); and Harris County Juvenile Probation Department's RFI seeking emergency, inpatient, and specialty healthcare providers for detained youth (responses due September 25, 2026). The code shows limited relevance to its stated procedure name and should be cross-referenced against Family and Class codes for actual vascular surgery procurement.