UNSPSC 85514347: Bypass left internal iliac artery to bilateral femoral arteries with autologous venous tissue, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass left internal iliac artery to bilateral femoral arteries 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 041F49K

UNSPSC 85514347, Bypass left internal iliac artery to bilateral femoral arteries with autologous venous tissue, percutaneous endoscopic approach (Commodity), shows a substantial disconnect between its nominal surgical-procedure classification and recent state and local procurement activity. The code's five recent opportunities span occupational medical surveillance, independent disability medical evaluations, surgical benefit program administration, pharmacy benefit management, temporary health professional staffing qualification, and pediatric emergency medical services — none of which involve the specific vascular bypass procedure named in the code. State and local governments purchasing under this code are buying medical evaluation and administrative services, not surgical procedures themselves.

The issuing bodies are diverse: county health systems, city retirement offices, state transportation departments, county juvenile probation departments, and county commissioners' offices. Activity appears concentrated in Arizona, California, Florida, and Washington, with a single Texas RFI. Representative opportunities include the City of Phoenix Retirement Office's RFP (RTMRFP26001) for independent medical evaluation services with a $750,000 five-year maximum contract due October 16, 2026; the Washington State Department of Transportation's RFP (RFP20260825) for occupational medical surveillance across 14 ferry system locations due October 9, 2026; and the County of Santa Clara Health System's qualification pool RFP (RFSQHHSFY270052) for temporary health professional staffing due October 7, 2026. The code shows no strong alignment with its stated surgical scope and appears to reflect an indexing mismatch rather than legitimate medical-procedure procurement activity at the state and local level.