UNSPSC 85521529: Bypass left vertebral vein to upper vein with autologous arterial tissue, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass left vertebral vein to upper vein 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 051S4AY

UNSPSC 85521529 Bypass left vertebral vein to upper vein with autologous arterial tissue, percutaneous endoscopic approach is a Commodity code that nominally describes a specific surgical procedure, but recent state and local procurement activity under this code shows little connection to that surgical classification. Instead, the opportunities solicited reflect a mismatch between the code's clinical specificity and the actual services being procured by state and local health systems, county benefits administrators, and public safety pension boards—which include occupational medical surveillance, pharmacy benefit management, independent medical evaluations for disability determinations, specialty surgical networks, temporary health professional staffing, and emergency/inpatient care for detained youth. The issuing bodies span county health systems (Santa Clara), county benefits and pension offices (Collier County, Phoenix), state transportation agencies (Washington State Department of Transportation), county judicial systems (Harris County Juvenile Probation), and municipal retirement offices (City of Phoenix). None of these opportunities involve the specific spinal or vascular surgical procedure the code nominally identifies.

Recent activity appears in Arizona, California, Florida, and Washington. Representative opportunities include the City of Phoenix Retirement Office requesting independent medical evaluation services (RTMRFP26001, RFP, due October 16, 2026, $750,000 over five years); the Washington State Department of Transportation seeking occupational medical surveillance services across 14 ferry system locations (RFP20260825, due October 9, 2026); the City of Long Beach soliciting a surgical carve-out benefit program for Centers of Excellence (HR26753, RFP, due October 7, 2026); and the County of Santa Clara Health System establishing a vendor pool for temporary health professional staffing across ancillary clinical categories (RFSQHHSFY270052, RFP, due October 7, 2026). The code shows no recent procurement activity aligned with its stated surgical procedure classification.