UNSPSC 85514149: Bypass left external iliac artery to right femoral artery with autologous venous tissue, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass left external iliac artery to right femoral artery with autologous venous tissue, 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 041J49H

UNSPSC 85514149 Bypass left external iliac artery to right femoral artery with autologous venous tissue, percutaneous endoscopic approach is a Commodity code that does not match the work actually being solicited under it in recent state and local procurement. The code's nominal scope describes a specific surgical procedure, yet the six recent opportunities tagged to this code solicit medical evaluation services, pharmacy benefit management, occupational health surveillance, youth detention medical care, specialty surgical networks, and temporary health professional staffing—none of which align with the procedure code's clinical specification. State and local procurement offices are using this code to classify a broad range of health services and occupational medicine activities that fall outside the narrow surgical-procedure scope the code nominally describes.

The recent opportunities span Arizona (City of Phoenix Retirement Office, independent medical evaluations for disability determinations), California (City of Long Beach, surgical carve-out networks; County of Santa Clara Health System, temporary ancillary health professional staffing), Washington (Washington State Department of Transportation, occupational medical surveillance), Florida (Collier County, pharmacy benefit management), and Texas (Harris County Juvenile Probation Department, emergency and specialty medical services for detained youth). Geographic spread includes state departments, county governments, city procurement offices, and special-purpose health systems. The most concrete example is the City of Phoenix's RFP (RTMRFP26001) for independent medical evaluation services with a maximum contract value of $750,000 over five years, due October 16, 2026, requiring M.D. or D.O. physicians licensed in Arizona with five years' minimum disability-evaluation experience. The Washington State Department of Transportation's occupational medical surveillance RFP (RFP20260825) due October 9, 2026 requires examinations across 14 Washington ferry system locations performed by physicians board-certified in occupational medicine. The code shows no cohesion—the UNSPSC classification is either misconfigured at the source or misapplied across disparate health-services categories that do not belong in a surgical-procedure commodity.