UNSPSC 85513516: Replacement of right internal iliac artery with nonautologous tissue substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to replacement of right internal iliac artery with nonautologous tissue substitute, percutaneous endoscopic 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 04RE4KZ

UNSPSC 85513516 Replacement of right internal iliac artery with nonautologous tissue substitute, percutaneous endoscopic approach is a Commodity code that shows no alignment between its nominal scope — a highly specific surgical procedure — and the state and local procurement activity actually posted under it. Recent opportunities tagged to this code include disability medical record review and independent medical evaluation services, surgical benefit carve-out programs for government employee health plans, occupational medical surveillance for transportation workers, emergency and specialty medical services for detained youth, and pharmacy benefit management. None of these solicitations involve vascular surgery or the procedural intervention the code nominally describes. The mismatch suggests either systematic miscoding in the state and local procurement systems, or that the code has been repurposed to encompass a much broader family of health benefit administration and occupational medicine services. State and local buyers across this code include county procurement offices (Collier County, Harris County), city retirement systems (Phoenix), health systems (Santa Clara County Health System), and state transportation agencies (Washington State Department of Transportation). The activity does not reflect the specific surgical service the code's name implies.

Recent opportunities span Arizona, California, Florida, Texas, and Washington. The Phoenix Retirement Office is soliciting independent medical evaluation services for disability benefit determinations under Arizona's Public Safety Personnel Retirement System, with proposals due October 16, 2026 and a five-year contract maximum of $750,000 (RFP RTMRFP26001). The City of Long Beach is requesting proposals for a surgical and medical procedure carve-out benefit program through Centers of Excellence, with proposals due October 7, 2026 and contract go-live targeted for April 1, 2027 (RFP HR26753). The Washington State Department of Transportation is soliciting occupational medical surveillance services for ferries workers across 14 Washington locations, with proposals due October 9, 2026 and a two-year initial term with optional five-year extensions (RFP RFP20260825). Collier County is pursuing pharmacy benefit management services covering approximately 7,200 total members with historical annual pharmacy spending of $8.7 million, for a three-year term effective January 1, 2026 through December 31, 2028 with two optional one-year renewals (RFP 25-8414). The County of Santa Clara Health System is establishing a multiple-award qualified vendor pool for temporary health professional staffing across 13 ancillary clinical categories, with proposals due October 7, 2026 and no guaranteed work volume (RFS RFSQHHSFY270052).