UNSPSC 85514821: Bypass abdominal aorta to bilateral femoral arteries with nonautologous tissue substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass abdominal aorta to bilateral femoral arteries 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 04104KK

UNSPSC 85514821, "Bypass abdominal aorta to bilateral femoral arteries with nonautologous tissue substitute, percutaneous endoscopic approach," is a Commodity code that does not reflect the work actually being solicited under it in state and local procurement activity. The recent opportunities tagged to this code span independent medical evaluations for disability benefit determinations, occupational health surveillance, surgical benefit carve-out programs, specialty medical services for youth in custody, pharmacy benefit management, and temporary health professional staffing. The code's nominal descriptor references a specific surgical procedure, yet none of the recent solicitations procure that procedure or any comparable clinical intervention; instead, they acquire healthcare administration, staffing, and benefit management services. This fundamental mismatch between the code's clinical scope and the administrative and staffing services actually being bought suggests either systematic misclassification by issuing bodies or that the code has been repurposed in state and local taxonomy to encompass a broader healthcare service family than its name indicates.

Issuing bodies include city retirement offices, municipalities, state transportation departments, county juvenile probation authorities, county commissions, and regional health systems—representing a mix of administrative, custodial, and public health functions rather than clinical procurement. The City of Phoenix Retirement Office (independent medical evaluation services for disability pension determinations), the Washington State Department of Transportation (occupational medical surveillance for ferry workers), the City of Long Beach (surgical benefit carve-out for employee health plans), Harris County Juvenile Probation Department (emergency and specialty medical services for detained youth), Collier County Board of County Commissioners (pharmacy benefit management), and Santa Clara County Health System (temporary health professional staffing) anchor recent activity across Arizona, Washington, California, Florida, and Texas. The plurality of solicitations target administrative and staffing services rather than clinical delivery, with geographic distribution spanning the Pacific Coast, Southwest, and South, with no clear concentration in a single region or jurisdiction type.