UNSPSC 85514684: Bypass right common iliac artery to bilateral internal iliac arteries with autologous venous tissue, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass right common iliac artery to bilateral internal iliac 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 041C49C

UNSPSC 85514684, Bypass right common iliac artery to bilateral internal iliac arteries with autologous venous tissue, percutaneous endoscopic approach, is a Commodity code that shows substantial mismatch between its nominal medical procedure scope and recent state and local procurement activity. The code's abstract name describes a specific surgical technique, but the recent opportunities tagged under it involve occupational medical surveillance, independent medical evaluations for pension disability determinations, pharmacy benefit management, temporary health professional staffing, surgical carve-out networks, and information-gathering for youth detention medical services — none of which align with the procedural code's stated content. This pattern signals either systematic miscoding by issuing bodies or a fundamental disconnect between how this code is being applied in practice and its intended clinical scope.

Recent opportunities span three states. Washington State Department of Transportation (Ferries) posted RFP 20260825 for occupational medical surveillance services across 14 ferry locations, due October 9, 2026, requiring board-certified occupational medicine physicians. The City of Phoenix Retirement Office solicited independent medical evaluation and psychiatric examination services (RTMRFP26001, due October 16, 2026) for approximately 75 annual disability benefit applications under Arizona's Public Safety Personnel Retirement System, with a five-year maximum contract value of $750,000. The City of Long Beach issued HR26753 for surgical procedure carve-out benefits through Centers of Excellence networks, due October 7, 2026. Collier County in Florida posted an RFP for pharmacy benefit management services (258414, originally due April 9, 2026). Santa Clara County Health System (California) solicited temporary health professional staffing for multiple ancillary clinical categories, due October 7, 2026. Harris County Juvenile Probation Department (Texas) issued an RFI for hospital-based emergency and specialty medical services for detained youth, due September 25, 2026. The issuing bodies are primarily county health systems, state transportation agencies, retirement boards, and municipal human resources divisions, reflecting fragmented, function-specific purchasing across California, Florida, Texas, Washington, and Arizona.