UNSPSC 85591428: Bypass lower esophagus to duodenum 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 duodenum 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 0D138K9

UNSPSC 85591428 Bypass lower esophagus to duodenum with nonautologous tissue substitute, via natural or artificial opening endoscopic is a Commodity code that shows a significant mismatch between its nominal scope and recent state and local procurement activity. The code describes a specific surgical procedure, but the recent opportunities tagged under it span occupational medical surveillance, disability medical evaluation services, pharmacy benefit management, temporary health professional staffing, surgical carve-out benefit programs, and emergency medical services for detained youth — none of which involve bypass grafting or gastrointestinal reconstruction. The issuing bodies in the recent block include state departments (Washington State Department of Transportation), county government (Harris County Juvenile Probation Department, Santa Clara County Health System, Collier County), and municipalities (City of Phoenix, City of Long Beach). This code shows little relevant recent activity directly aligned with its nominal procedure-level scope.

The geographic spread of recent opportunities spans Washington, Arizona, California, Florida, and Texas, though the tagging appears to reflect a data-classification issue rather than a meaningful market signal for gastrointestinal surgical procedures at the state and local level. Representative recent opportunities include the Washington State Department of Transportation's occupational medical surveillance RFP (due October 9, 2026), the City of Phoenix Retirement Office's independent medical evaluation services RFP (due October 16, 2026, $750,000 total contract value over five years), and the County of Santa Clara Health System's temporary health professional staffing vehicle (due October 7, 2026, multiple ancillary clinical categories, non-exclusive). Bidders should treat this code's recent opportunities as miscoded; the volume of unrelated solicitations under this Commodity code does not support a pursue strategy for gastrointestinal surgical procedures or related device supply.