UNSPSC 85514574: Bypass left common iliac artery to mesenteric artery with autologous arterial tissue, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass left common iliac artery to mesenteric artery with autologous arterial 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 041D4A2

UNSPSC 85514574 Bypass left common iliac artery to mesenteric artery with autologous arterial tissue, percutaneous endoscopic approach is a Commodity code that shows no alignment between its nominal scope—a highly specific surgical procedure—and the actual work state and local governments are buying under this code designation. Recent opportunities posted under this code include independent medical evaluation services for disability pension determinations, surgical benefit carve-out programs for government employee health plans, occupational medical surveillance for state ferry workers, specialty and emergency healthcare for detained youth, pharmacy benefit management administration, and temporary clinical staffing services. None of these procurement activities involve the named vascular surgical procedure. The issuing bodies span multiple jurisdictions and sectors: city retirement offices (Phoenix), municipal human resources departments (Long Beach), state transportation agencies (Washington), county juvenile justice systems (Harris County), county commissioners' offices (Collier County), and county health systems (Santa Clara).

The geographic spread includes Arizona, California, Florida, and Washington. Representative recent opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (RTMRFP26001, due October 16, 2026) to support approximately 75 annual disability benefit applications under Arizona's Public Safety Personnel Retirement System, budgeted at $750,000 over five years; the City of Long Beach RFP for surgical benefit carve-out services (HR26753, due October 7, 2026) covering knee, hip, orthopedic, shoulder, spine, heart, weight loss, and oncology procedures for approximately 3,800 enrolled employees and retirees; and the Washington State Department of Transportation RFP for occupational medical surveillance across 14 ferry system locations (RFP20260825, due October 9, 2026) covering baseline, periodic, follow-up, and exit medical examinations for shipyard, engine, deck, and asbestos team workers. The code's mismatch with actual procurement activity suggests either a cataloging error or misapplication of the UNSPSC taxonomy in state and local systems.