UNSPSC 85591433: Bypass lower esophagus to duodenum 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 duodenum 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 0D138J9

UNSPSC 85591433 Bypass lower esophagus to duodenum with synthetic substitute, via natural or artificial opening endoscopic is a Commodity code that shows a significant mismatch between its abstract medical-procedure nomenclature and actual state and local procurement activity. The code's nominal scope — a specific gastroenterological surgical procedure — does not correspond to the work being solicited under it in recent opportunities. Instead, recent postings tagged to this code encompass occupational medical surveillance, disability medical evaluations, pharmacy benefit management, surgical benefit administration, temporary health professional staffing, and specialty medical services for youth in custody. These are healthcare services, screening, and administrative functions rather than the specific esophageal-duodenal bypass procedure the code name describes.

The issuing bodies span state departments, county governments, and city agencies: the Washington State Department of Transportation (via Washington State Ferries), Harris County Juvenile Probation Department, Collier County Board of County Commissioners, County of Santa Clara Health System, City of Long Beach, and City of Phoenix Retirement Office. Recent activity concentrates in California, Florida, Arizona, and Washington. Representative opportunities include the Washington State Department of Transportation's RFP for occupational medical surveillance services across 14 ferry locations with proposals due October 9, 2026 (RFP20260825); the City of Phoenix Retirement Office's RFP for disability medical record summary and independent medical examination services with a total maximum contract compensation of $750,000 over five years and proposals due October 16, 2026 (RTMRFP26001); and Collier County's RFP for pharmacy benefit management services covering approximately 7,200 members with historical annual pharmacy spending of approximately $8.7 million and proposals due April 9, 2026 (258414). The code exhibits low relevance to its stated medical-procedure scope and warrants reclassification review or consideration for skipping when pursuing procedure-specific healthcare contracts.