UNSPSC 85523386: Bypass left axillary vein to upper vein with autologous venous tissue, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass left axillary vein to upper vein with autologous venous tissue, open 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 051809Y

UNSPSC 85523386 Bypass left axillary vein to upper vein with autologous venous tissue, open approach is a Commodity code that nominally describes a specific surgical vascular procedure, but recent state and local contract opportunities posted under this code do not reflect surgical procedure-specific procurement. Instead, the code shows activity in occupational health surveillance, independent medical evaluations for public safety pension disability determinations, surgical benefit carve-out programs for municipal health plans, pharmacy benefit management services, temporary health professional staffing for hospital systems, and emergency medical services coordination for juvenile detention facilities. The issuing bodies span county health systems (Santa Clara County Health System, Collier County Board of County Commissioners), municipal government (City of Phoenix Retirement Office, City of Long Beach), state transportation agencies (Washington State Department of Transportation), county probation departments (Harris County Juvenile Probation Department), and county purchasing offices acting on behalf of multiple internal departments. This mix reflects fragmented buying across administrative health, occupational medicine, municipal employee benefits, and behavioral health service categories rather than orthopedic or vascular surgery procurement.

Geographic activity appears across California (Santa Clara, Long Beach), Arizona (Phoenix), Washington (Ferries statewide), Florida (Collier County), and Texas (Harris County), with no evident geographic concentration. Representative recent solicitations include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (RTMRFP26001, due October 16, 2026) to support disability benefit determinations for approximately 75 annual public safety pension applications at a maximum $750,000 over five years; the Washington State Department of Transportation's RFP for occupational medical surveillance across 14 ferry terminals (RFP20260825, due October 9, 2026); and the County of Santa Clara Health System's non-exclusive multiple-award RFSQ for temporary health professional staffing across 13 ancillary clinical categories (RFSQHHSFY270052, due October 7, 2026). The code shows significant mismatch between its nominal orthopedic surgical scope and the diverse medical-administrative and occupational health services actually being solicited, suggesting either systematic miscoding at source or that the code is being used as a fallback category for health services procurement that lacks a more precise UNSPSC classification.