UNSPSC 85522189: Bypass azygos vein to upper vein with autologous venous tissue, 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 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 051049Y

UNSPSC 85522189 Bypass azygos vein to upper vein with autologous venous tissue, percutaneous endoscopic approach is a Commodity code that describes a specific surgical procedure; however, the recent state and local opportunities tagged to this code do not reflect actual procurement of that procedure. Instead, the opportunities solicited cover occupational health surveillance, independent medical evaluations for disability determinations, surgical benefit program carve-outs for Centers of Excellence networks, pharmacy benefit management, emergency and specialty medical services for detained youth, and temporary health professional staffing. None of these scopes involve vascular bypass surgery or the clinical intervention the code nominally describes. The mismatch indicates either systematic miscoding or that the code has been repurposed in state and local procurement systems to flag health-related services more broadly. The issuing bodies include state departments (Washington State Department of Transportation), county health systems and probation departments (Santa Clara County Health System, Harris County Juvenile Probation Department, Collier County Board of County Commissioners), cities (Phoenix Retirement Office, City of Long Beach), and regional health authorities. No single issuer dominates the recent activity.

The geographic spread spans Washington State (occupational medical surveillance for ferry workers), Arizona (independent medical evaluations for public safety retirees in Phoenix), California (surgical benefit carve-outs in Long Beach and temporary health staffing in Santa Clara County), Florida (pharmacy benefit management in Collier County), and Texas (emergency and specialty services in Harris County). Representative recent opportunities include the Washington State Department of Transportation's RFP 20260825 for occupational medical surveillance services with a due date of October 9, 2026 and a pre-bid conference on August 31, 2026; the City of Phoenix's RFP RTMRFP26001 for independent medical evaluation services due October 16, 2026, with a maximum contract value of $750,000 over five years; and the County of Santa Clara Health System's RFQ RFSQHHSFY270052 for temporary health professional staffing across ancillary clinical categories, due October 7, 2026. The code shows significant recent activity but with no clear operational alignment between the code's stated procedure and the health services actually being solicited.