UNSPSC 85514043: Bypass right femoral artery to lower extremity artery with nonautologous tissue substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass right femoral artery to lower extremity 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 041K4KQ

UNSPSC 85514043 Bypass right femoral artery to lower extremity artery with nonautologous tissue substitute, percutaneous endoscopic approach is a Commodity code that shows a stark mismatch between its medical-procedural taxonomy label and the actual state and local work being solicited under it. The recent opportunities posted against this code do not involve the specific vascular surgical procedure named in the code; instead, they cover occupational medical surveillance, independent disability medical evaluations, pharmacy benefit management, health professional staffing, surgical benefit carve-out administration, and emergency medical services for detained youth. The code appears to be applied by procurement systems as a catch-all for healthcare administration and staffing services rather than as a marker for the specific bypass surgery procedure the code nominally describes. State and local buyers issuing under this code include county human resources and benefits divisions (Collier County, Santa Clara County), city retirement offices (City of Phoenix), municipal benefits administrators (City of Long Beach), state transportation departments (Washington State Department of Transportation), county health systems (Santa Clara, Harris County), and county juvenile justice agencies (Harris County Juvenile Probation Department).

Geographic activity clusters in California (Collier County, Santa Clara County, Long Beach), Arizona (Phoenix), Washington State (statewide ferries operations), Texas (Harris County), and Florida (Collier County). Representative recent opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services for disability benefit applications (RTMRFP26001, due October 16, 2026, $750,000 maximum over five years), the Washington State Department of Transportation's RFP for occupational medical surveillance services across 14 ferry terminals (RFP20260825, due October 9, 2026, with a pre-bid conference on August 31, 2026), and Collier County's RFP for pharmacy benefit management services covering approximately 2,400 employees and 4,800 covered members (RFP 25-8414, with historical annual spend around $8.7 million). The City of Long Beach also issued an RFP for a surgical procedure carve-out benefit program through Centers of Excellence (HR26753, due October 7, 2026, with anticipated contract execution targeted for April 1, 2027). These opportunities reflect healthcare administration, professional staffing, and benefits management work rather than surgical procedures, indicating that the code's use in state and local procurement systems does not align with its clinical nomenclature.