UNSPSC 85523387: Bypass left axillary vein to upper vein with autologous tissue substitute, 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 tissue substitute, 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 051807Y

UNSPSC 85523387, Bypass left axillary vein to upper vein with autologous tissue substitute, open approach, is a Commodity code nominally describing a surgical vascular procedure; however, the recent opportunities posted under this code show no alignment with surgical vascular services and instead reflect administrative health services and staffing procurement. The issuing bodies include city retirement offices, county health systems, county juvenile probation departments, state transportation agencies, and municipal employee benefits offices—jurisdictions across the health service administration, occupational health, and public employee benefits spectrum. The work being solicited under this code's recent tag includes independent medical evaluation services for disability retirement determinations, pharmacy benefit management, occupational medical surveillance, temporary health professional staffing pools, surgical specialty carve-out network management for employee health plans, and emergency medical services for detained youth. This mismatch between the code's nominal scope (a specific vascular surgical procedure) and the actual goods and services being purchased (administrative medical and occupational health services) suggests the code may have been applied incorrectly by issuing bodies or that the taxonomy mapping has drifted from operational procurement reality.

Recent activity spans Arizona, California, Washington State, Texas, and Florida. Representative 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 pensions; the Washington State Department of Transportation's RFP for occupational medical surveillance services across 14 ferry system locations (RFP20260825, due October 9, 2026, pre-bid August 31, 2026); and the County of Santa Clara Health System's non-exclusive multiple-award qualification vehicle for temporary health professional staffing across 13 ancillary clinical categories (RFSQHHSFY270052, due October 7, 2026). The City of Long Beach sought surgical specialty network carve-out services for employee health benefits (HR26753, due October 7, 2026), and Collier County requested Pharmacy Benefit Management services covering approximately 2,400 enrolled employees and 4,800 covered members (RFP 25-8414, originally due April 9, 2026 but likely superseded in current procurement cycles). This code shows little relevant recent activity in its stated procedural scope.