UNSPSC 85591438: Bypass lower esophagus to duodenum with autologous 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 autologous 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 0D13879

UNSPSC 85591438 Bypass lower esophagus to duodenum with autologous tissue substitute, via natural or artificial opening endoscopic (Commodity) shows no relevant recent state and local procurement activity. The recent opportunities tagged under this code reflect disability medical evaluations, occupational medical surveillance, pharmacy benefit management, surgical care networks, emergency medical services for youth in custody, and temporary health professional staffing — none of which align with the specific surgical procedure named in the code's definition. The mismatch suggests either miscoding in state and local procurement systems or that the code, as indexed, does not reflect actual purchasing patterns among the jurisdictions currently using it.

State and local procurement systems occasionally misapply highly specialized clinical procedure codes, particularly when health systems or public safety agencies classify broadly framed medical services (occupational health programs, emergency care, staffing pools) at the commodity rather than family or class tier. Bidding professionals evaluating this code should verify the actual scope of work directly in the RFP or IFB notice rather than relying on the code descriptor; the recent activity suggests a gap between the UNSPSC taxonomy and the medical services state and local buyers are actually tendering. Current geographic activity spans Arizona (City of Phoenix), California (City of Long Beach, Santa Clara County), Washington (Department of Transportation/Ferries), Florida (Collier County), and Texas (Harris County), but these opportunities do not represent continuous demand under this specific code.