UNSPSC 85591440: Bypass lower esophagus to cutaneous 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 cutaneous 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 0D13874

UNSPSC 85591440 (Bypass lower esophagus to cutaneous with autologous tissue substitute, via natural or artificial opening endoscopic) is a Commodity code that shows minimal alignment with actual state and local procurement activity. The code nominally describes a specific surgical procedure, but the recent opportunities tagged under it address occupational medical surveillance, disability evaluations, pharmacy benefit management, temporary clinical staffing, surgical care carve-outs for employee health plans, and emergency medical services for youth in custody—none of which involve the esophageal bypass procedure the code names. State and local buyers are instead procuring medical evaluation and administration services, occupational health programs, pharmacy management, and clinical staffing arrangements. The issuing bodies include county governments, municipal retirement systems, state transportation agencies, and county health authorities across Arizona, Washington, Florida, California, and Texas. The mismatch between the code's procedural scope and the services actually being solicited suggests either tagging error or that the code is being used as a catch-all classification for medical services that do not fit other taxonomy options.

Representative recent opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (due October 16, 2026, with a five-year contract ceiling of $750,000), the Washington State Department of Transportation RFP for occupational medical surveillance services (due October 9, 2026, with a two-year base term and optional five-year extensions), the City of Long Beach RFP for a surgical and medical procedure carve-out benefit program for employee health plans (due October 7, 2026), and Collier County's RFP for pharmacy benefit management services (due April 9, 2026, covering approximately 2,400 employees and 4,800 covered members). No recent opportunities appear to procure the esophageal surgical procedure the code describes. The code shows insufficient recent volume or scope alignment for meaningful business development focus in state and local procurement.