UNSPSC 85591429: Bypass lower esophagus to stomach 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 stomach 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 0D138K6

UNSPSC 85591429, Bypass lower esophagus to stomach with nonautologous tissue substitute via natural or artificial opening endoscopic, is a Commodity code that shows little relevant recent activity under its nominal medical procedure scope. The code's abstract designation describes a specific surgical intervention, yet the state and local opportunities tagged to it span occupational medical surveillance, independent disability medical evaluations, pharmacy benefit management, surgical center-of-excellence network carve-outs, temporary health professional staffing qualification pools, and emergency youth detention healthcare — none of which align with the endoscopic gastric bypass procedure the code nominally describes. The mismatch suggests either systematic coding misclassification in state and local procurement systems or that this code tier does not reflect how jurisdictions actually solicit clinical procedure services.

The recent opportunities that carry this code span multiple issuing bodies and geographies: the Washington State Department of Transportation (occupational medical surveillance), the City of Phoenix Retirement Office (disability medical record summary and evaluation services), the City of Long Beach (surgical benefit network management), Harris County Juvenile Probation Department (emergency and specialty medical services for detained youth), Collier County (pharmacy benefit management), and the County of Santa Clara Health System (temporary ancillary health professional staffing qualification). Activity appears across Washington, Arizona, California, Texas, and Florida. Given the lack of substantive procedural procurement under the code's stated scope and the breadth of unrelated clinical and administrative services tagged to it, this code does not constitute a reliable signal for vendors pursuing esophageal or gastric surgical procedure contracts with state and local health systems.