UNSPSC 85516459: Bypass left femoral artery to posterior tibial 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 femoral artery to posterior tibial 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 041L49N

UNSPSC 85516459 Bypass left femoral artery to posterior tibial artery with autologous venous tissue, percutaneous endoscopic approach is a Commodity code that describes a specific surgical procedure; however, recent state and local procurement activity tagged to this code does not reflect the purchase of vascular surgical services. Instead, the code appears to be misapplied in the state and local system to capture medical evaluation, occupational health surveillance, pharmacy benefit management, health professional staffing, and surgical benefit carve-out administration — all services that fall outside the nominal scope of a specific vascular bypass procedure. State and local buying offices issuing under this code include municipal retirement systems, state transportation authorities, county health systems, county probation departments, and county commissioners' offices. The scope of actual work being solicited spans independent medical evaluation and record summarization for disability retirement determinations, occupational medical surveillance for transportation workers, pharmacy benefit management administration, temporary health professional staffing across clinical specialties, and surgical procedure carve-out benefit programs through Centers of Excellence networks. None of these activities align with the purchase or provision of a specific arterial bypass surgical procedure.

Recent activity centers in Arizona, Washington, California, and Florida. The City of Phoenix Retirement Office posted an RFP for independent medical evaluation services on September 16, 2026, with proposals due October 16, 2026 at 2:00 p.m., for a maximum $750,000 over five years to support approximately 75 annual disability benefit applications for public safety personnel. The Washington State Department of Transportation posted an RFB for occupational medical surveillance services on August 25, 2026, with proposals due October 9, 2026, to conduct baseline, periodic, and exit examinations for ferry workers across 14 Washington locations. The City of Long Beach posted an RFP on August 26, 2026, with proposals due October 7, 2026, for surgical and medical procedure carve-out benefit programs offering pre- and post-care for orthopedic, cardiac, oncology, and weight-loss procedures through vetted Centers of Excellence. Collier County issued an RFP for pharmacy benefit management services with a deadline of April 9, 2026 based on historical annual pharmacy spending of approximately $8.7 million. The County of Santa Clara Health System posted an RFQ on July 7, 2026, with proposals due October 7, 2026, to establish a qualified vendor pool for temporary health professional staffing across ancillary clinical categories including audiology, radiology, respiratory care, and surgical services. The code shows little relevant recent activity and demonstrates substantial mismatch between the nominal surgical procedure taxonomy and the actual procurement work being classified under it.