UNSPSC 85522186: Bypass azygos vein to upper vein with nonautologous tissue substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass azygos vein to upper vein 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 05104KY

UNSPSC 85522186 Bypass azygos vein to upper vein with nonautologous tissue substitute, percutaneous endoscopic approach is a Commodity code that nominally describes a specific surgical procedure, but the recent state and local opportunities posted under this code show no alignment with that scope. The opportunities instead reflect procurement of medical services including independent medical evaluations for disability benefit determinations, occupational health surveillance, surgical benefit carve-out management, pharmacy benefit administration, temporary health professional staffing, and emergency medical services for youth in custody. This mismatch signals that the code has been misapplied by issuing bodies or does not reflect the actual medical-service purchasing activity these jurisdictions are conducting. State and local governments issuing under this code include county boards of commissioners (Collier County), county health systems (Santa Clara), city retirement offices (Phoenix), state transportation departments (Washington), county juvenile probation departments (Harris County), and municipalities (Long Beach).

Activity is geographically spread across Arizona, California, Florida, Washington, and Texas, with no single jurisdiction dominating the recent opportunity set. Representative recent solicitations include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (RTMRFP26001, due October 16, 2026) supporting approximately 75 annual disability benefit applications for public safety personnel with a maximum contract value of $750,000 over five years; the Washington State Department of Transportation's RFP for occupational medical surveillance services across 14 ferry system locations (RFP20260825, due October 9, 2026) requiring physicians board-certified in occupational medicine; the County of Santa Clara Health System's solicitation for temporary health professional staffing across multiple ancillary clinical categories (RFSQHHSFY270052, due October 7, 2026) establishing a non-exclusive multiple-award vendor pool; and Collier County's RFP for pharmacy benefit management services (RFP25-8414, with historical annual pharmacy spending of approximately $8.7 million). The code shows recent activity but reflects administrative and support medical services rather than procedure-specific procurement.