UNSPSC 85514593: Bypass left common iliac artery to mesenteric 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 common iliac artery to mesenteric 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 041D492

UNSPSC 85514593, Bypass left common iliac artery to mesenteric artery with autologous venous tissue, percutaneous endoscopic approach, is a Commodity code describing a specific surgical procedure. The recent opportunities posted under this code show minimal alignment with the code's nominal scope; instead, state and local governments are using the code designation for a broad range of occupational health, employee benefits, and medical staffing services that fall outside specialized vascular surgery. The actual work being solicited includes occupational medical surveillance (baseline and periodic examinations for ferry workers), independent disability medical evaluations for public safety pension determinations, surgical procedure carve-out networks for government employee health plans, pharmacy benefit management, temporary ancillary health professional staffing, and emergency medical services for youth in custody. Issuing bodies include state departments (Washington State Department of Transportation), county governments (Harris County Juvenile Probation Department, Collier County, Santa Clara County), cities (Phoenix, Long Beach), and county health systems. The code shows substantial variance between its explicit medical procedure name and the healthcare administration and staffing services actually being procured.

Recent activity spans the Pacific Northwest, Southwest, and California. The Washington State Department of Transportation is soliciting occupational medical surveillance services for Washington State Ferry employees across 14 Washington locations, with proposals due October 9, 2026 and a pre-bid conference scheduled for August 31, 2026; examinations must be performed by a physician board-certified in occupational medicine, with the contract term two years plus optional extensions. The City of Phoenix Retirement Office is requesting independent medical evaluation services for disability pension determinations, with proposals due October 16, 2026 and a maximum contract value of $750,000 over five years starting February 3, 2027. The City of Long Beach is seeking a surgical procedure carve-out benefit program for Centers of Excellence with proposals due October 7, 2026, targeting contract execution in April 2027. The County of Santa Clara Health System is establishing a multiple-award vendor pool for temporary ancillary health professional staffing (audiology, cardiology, diagnostic imaging, gastroenterology, orthopedics, respiratory care, and surgical services) with proposals due October 7, 2026. The code designation here appears to be a tagging error or administrative mismatch rather than an accurate reflection of the work being bought.