UNSPSC 85534328: Bypass esophageal vein to lower vein with autologous arterial tissue, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass esophageal vein to lower 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 06134AY

UNSPSC 85534328 Bypass esophageal vein to lower vein with autologous arterial tissue, percutaneous endoscopic approach is a Commodity code that does not reflect the actual work state and local governments are soliciting under this designation. Recent opportunities tagged to this code include independent medical evaluation services for pension disability determinations, surgical benefit carve-outs for employee health plans, occupational medical surveillance for transportation workers, emergency and specialty healthcare for detained youth, pharmacy benefit management, and temporary health professional staffing — none of which involve the specialized vascular procedure named in the code itself. The mismatch suggests either systematic miscoding of health administration and occupational medicine services to a narrow clinical procedure code, or that the code assignment does not align with the procurement activities being tagged to it in state and local systems. State and local issuers across Arizona, California, Florida, and Washington are using this code designation to solicit administrative health services, benefit management, and occupational health support rather than surgical procedures.

The recent opportunities span diverse issuing bodies: city retirement offices (Phoenix), city human resources departments (Long Beach), state transportation agencies (Washington State Department of Transportation), county juvenile probation departments (Harris County), county procurement offices (Collier County), and county health systems (Santa Clara). Representative solicitations include the City of Phoenix Retirement Office's RFP for independent medical evaluation services with a $750,000 five-year maximum (due October 16, 2026), the Washington State Department of Transportation's RFP for occupational medical surveillance across 14 ferry system locations (due October 9, 2026), and the County of Santa Clara Health System's RFSQ to establish a qualified vendor pool for temporary health professional staffing (due October 7, 2026). If the code is being applied to general health administration and occupational medicine procurement, it is active across multiple states; if the code is intended to capture only the vascular procedure described in its name, current state and local activity shows little relevant volume.