UNSPSC 85504473: Bypass left axillary artery to left upper leg artery with autologous venous tissue, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass left axillary artery to left upper leg 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 316097

UNSPSC 85504473 Bypass left axillary artery to left upper leg artery with autologous venous tissue, open approach is a Commodity code nominally describing a specific surgical procedure, but recent state and local procurement activity under this code does not align with vascular surgery work. Instead, the code has been applied to a fragmented set of health services unrelated to the surgical procedure its name describes: independent medical evaluation services for pension disability determinations, surgical benefit carve-out programs for municipal health plans, occupational medical surveillance for ferry workers, emergency and specialty care for detained youth, pharmacy benefit management, and temporary clinical staffing. The mismatch between the code's surgical scope and actual purchasing activity suggests either systematic mis-tagging in state and local systems or use of the code as a catch-all for health services procurement outside traditional claims processing. State and local buyers applying this code include city retirement offices, municipal human resources departments, state transportation agencies, county juvenile probation departments, county health systems, and county procurement divisions managing health benefits consortiums.

Geographic activity appears concentrated in the Southwest and West Coast, with recent solicitations from Arizona (City of Phoenix), California (Cities of Long Beach and Santa Clara County), Washington (Washington State Department of Transportation), Florida (Collier County), and Texas (Harris County). The City of Phoenix Retirement Office posted an RFP on September 16, 2026 (due October 16, 2026) seeking independent medical evaluation services and disability medical record summaries for approximately 75 annual pension disability applications across a five-year term with maximum compensation of $750,000. The Washington State Department of Transportation posted an RFQ on August 25, 2026 (due October 9, 2026) for occupational medical surveillance services across 14 Washington ferry system locations, with a two-year initial term and options to extend through five additional one-year periods. The City of Long Beach posted an RFP on August 26, 2026 (due October 7, 2026) for surgical and medical procedure carve-out benefits through Centers of Excellence for its Anthem PPO plan covering approximately 3,800 active employees and retirees. The code shows no coherent procurement signal and warrants verification before pursuit.