UNSPSC 85504418: Bypass left axillary artery to right extracranial artery with nonautologous tissue substitute, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass left axillary artery to right extracranial artery with nonautologous tissue substitute, 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 03160KJ

UNSPSC 85504418 Bypass left axillary artery to right extracranial artery with nonautologous tissue substitute, open approach is a Commodity code that describes a specific surgical procedure, yet recent state and local contract opportunities posted under this code do not align with surgical procedure procurement. The actual work being solicited includes independent medical evaluation services for disability benefit determinations, surgical procedure carve-out benefit management for municipal health plans, occupational medical surveillance for transportation workers, emergency and specialty medical services for youth in custody, pharmacy benefit management administration, and temporary health professional staffing. The issuing bodies span city retirement offices, municipal human resources departments, state transportation agencies, county juvenile probation departments, county commissioners, and county health systems. The code shows a fundamental mismatch between its nominal taxonomy definition and the medical services and benefits administration work state and local agencies are actually purchasing under it.

The geographic spread of recent activity covers Arizona (City of Phoenix), California (City of Long Beach and County of Santa Clara), Washington (Washington State Department of Transportation), Florida (Collier County), and Texas (Harris County). The Washington State Ferries solicitation (RFP20260825, due October 9, 2026) seeks occupational medical surveillance services including baseline and periodic examinations across 14 locations, with a two-year initial term and optional five one-year extensions. The City of Phoenix Retirement Office solicitation (RTMRFP26001, due October 16, 2026) requests independent medical evaluation and record summarization for approximately 75 annual disability benefit applications under Arizona's Public Safety Personnel Retirement System, with a maximum contract value of $750,000 over five years commencing February 3, 2027. The mismatch between the code's surgical definition and the actual procurement activity—which centers on medical administration, evaluation coordination, and benefits management rather than surgical procedures themselves—suggests the code is being applied inconsistently or incorrectly by posting agencies, limiting its utility as a signal for business development targeting state and local surgical procedure procurement.