UNSPSC 85591427: Bypass lower esophagus to jejunum with nonautologous tissue substitute, via natural or artificial opening endoscopic

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass lower esophagus to jejunum with nonautologous tissue substitute, via natural or artificial opening endoscopic. 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 0D138KA

UNSPSC 85591427 Bypass lower esophagus to jejunum with nonautologous tissue substitute, via natural or artificial opening endoscopic is a Commodity code that does not reflect the actual scope of state and local procurement activity currently posted under it. The recent opportunities tagged to this code center on occupational health services, disability medical evaluations, pharmacy benefit management, temporary health professional staffing, surgical care networks, and youth detention healthcare — none of which align with the specific surgical procedure named in the code's definition. The mismatch suggests either systematic miscoding in state and local procurement systems or that the code is being applied as a catch-all for health services procurement more broadly, rather than for the gastroenterological procedure the code nominally describes.

The issuing bodies soliciting under this code span state agencies, county governments, and municipal health systems. The Washington State Department of Transportation (on behalf of Washington State Ferries) posted an occupational medical surveillance RFP due October 9, 2026; the City of Phoenix Retirement Office solicited independent medical evaluation services with a response deadline of October 16, 2026 at $750,000 over five years; the City of Long Beach sought proposals for a surgical and medical procedure carve-out benefit program due October 7, 2026; Harris County Juvenile Probation Department issued a Request for Information for emergency and specialty medical services for detained youth due September 25, 2026; and the County of Santa Clara Health System established a qualified vendor pool for temporary health professional staffing across thirteen ancillary clinical categories with proposals due October 7, 2026. Collier County Board of County Commissioners also posted a Pharmacy Benefit Management RFP covering approximately 2,400 employees and 4,800 covered members. Geographic concentration appears limited to California, Arizona, Florida, Texas, and Washington; no multi-state patterns emerge from the recent opportunities. The code shows little decision-relevant recent activity for the procedure it nominally describes and should be evaluated cautiously against actual procurement intent in state and local systems.