UNSPSC 85514421: Bypass right internal iliac artery to left 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 bypass right internal iliac artery to left 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 041E4KB

UNSPSC 85514421, Bypass right internal iliac artery to left internal iliac artery with nonautologous tissue substitute, percutaneous endoscopic approach, is a Commodity code that does not align with actual state and local procurement activity. The code nominally describes a specific surgical procedure, yet the recent opportunities posted under this code span occupational medical surveillance, disability medical evaluations, pharmacy benefit management, surgical procedure carve-out programs, temporary health professional staffing, and specialty medical services for detained youth — none of which correspond to the vascular surgical procedure named in the code's taxonomy. State and local procurement systems have misclassified these opportunities under a medical procedure code when they should fall under health services administration, staffing, or medical management categories. This mismatch indicates either systematic tagging error or that the code is being used as a catch-all for diverse healthcare services.

Recent activity appears in Arizona, California, Florida, and Washington, driven primarily by local health authorities, county human resources divisions, county juvenile probation departments, and state transportation agencies. Representative opportunities include the City of Phoenix Retirement Office's RFP (RTMRFP26001, due October 16, 2026) for independent medical evaluation services supporting disability benefit determinations; the City of Long Beach's RFP (HR26753, due October 7, 2026) for surgical procedure carve-out networks through Centers of Excellence; the Washington State Department of Transportation's RFP (RFP20260825, due October 9, 2026) for occupational medical surveillance across 14 ferry system locations; and Collier County's RFP (258414, due April 9, 2026) for pharmacy benefit management services covering approximately 2,400 enrolled employees. The code shows no meaningful recent activity that matches its stated clinical scope, warranting review of the source data classification.