UNSPSC 85504576: Bypass right axillary 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 right axillary 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 315094

UNSPSC 85504576 Bypass right axillary artery to left lower arm artery with autologous venous tissue, open approach is a Commodity code that nominally describes a specific surgical procedure, but recent state and local solicitations tagged with this code show little alignment with vascular surgical services. Instead, the code appears in procurement activity spanning independent medical evaluations, occupational medical surveillance, pharmacy benefit management, specialty medical procedure networks, temporary health professional staffing, and emergency medical services for detained youth — none of which involve the specific bypass procedure the code nominally names. State and local issuing bodies using this code include city retirement offices, county health systems, county juvenile probation departments, state transportation agencies, and municipal human resources divisions. The breadth and diversity of these solicitations, coupled with their misalignment to the code's nominal scope, suggest the code may be misapplied or that the taxonomy has been repurposed by different jurisdictions for broader medical service categories.

Recent opportunities span Arizona, California, Washington, and Florida. Representative solicitations include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (RTMRFP26001, responses due October 16, 2026, $750,000 over five years); the City of Long Beach's RFP for surgical and medical procedure carve-out benefits through Centers of Excellence (HR26753, responses due October 7, 2026); the Washington State Department of Transportation's RFP for occupational medical surveillance services across 14 Washington ferry locations (RFP20260825, responses due October 9, 2026); Harris County Juvenile Probation Department's RFI for emergency and specialty medical services for detained youth (071626BNM, responses due September 25, 2026); and Collier County's RFP for pharmacy benefit management services (RFP 25-8414, responses due April 9, 2026, based on approximately $8.7 million in historical annual pharmacy spending). The County of Santa Clara Health System solicited temporary health professional staffing across multiple ancillary clinical categories (RFSQHHSFY270052, responses due October 7, 2026, non-exclusive multiple-award qualification vehicle). No clear pattern of repeat buyers or geographic concentration emerges from the recent activity.