UNSPSC 85591432: Bypass lower esophagus to jejunum with synthetic 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 synthetic 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 0D138JA

UNSPSC 85591432 Bypass lower esophagus to jejunum with synthetic substitute, via natural or artificial opening endoscopic is a Commodity code that shows a fundamental mismatch between its nominal scope — a specific surgical procedure — and the actual work being solicited by state and local governments under this classification. The recent opportunities posted under this code do not represent surgical procedure services; instead, they encompass occupational medical surveillance, disability medical evaluations, pharmacy benefit management, health professional temporary staffing, surgical benefit carve-out administration, and emergency medical services for youth in custody. These are medical administration and staffing services rather than the procedure named in the code. The issuing bodies include state departments (Washington State Department of Transportation), county government agencies (Harris County, Collier County, Santa Clara County), and municipal bodies (City of Phoenix, City of Long Beach). No vendor has been identified as an incumbent or repeat awardee across these opportunities.

Activity under this code spans Arizona, California, Florida, and Washington. The most concrete recent opportunity is the City of Phoenix Retirement Office's RFP RTMRFP26001 for Independent Medical Evaluation Services (response due October 16, 2026, maximum contract value $750,000 over five years), which solicits disability medical record summary preparation and coordination of independent medical and psychiatric examinations for public safety personnel retirement determinations. The Washington State Department of Transportation's RFP 20260825 for occupational medical surveillance (response due October 9, 2026, with pre-bid conference August 31, 2026) requires examinations by or under the supervision of a physician board-certified in occupational medicine across 14 Washington ferry locations. The code shows little relevant recent activity aligned with its stated surgical procedure scope.