UNSPSC 85591446: Bypass middle esophagus to ileum 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 middle esophagus to ileum 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 0D128KB

UNSPSC 85591446 Bypass middle esophagus to ileum with nonautologous tissue substitute, via natural or artificial opening endoscopic is a Commodity code that does not align with recent state and local procurement activity. The code describes a specific surgical procedure, yet the six recent opportunities posted between July and September 2026 under this UNSPSC classify administrative and occupational health services—independent medical evaluations for pension disability determinations, surgical benefit carve-outs for health plans, occupational medical surveillance, emergency and specialty medical care for detained youth, pharmacy benefit management, and temporary clinical staffing—none of which involve the esophageal-to-ileum bypass procedure named in the code. The mismatch suggests either a systematic tagging error in the procurement systems posting these opportunities or a misalignment between the code's surgical scope and how state and local procurement offices are using it.

The recent opportunities do show issuing bodies spanning city retirement offices (City of Phoenix), municipal employee benefits programs (City of Long Beach, County of Santa Clara), state transportation departments (Washington State Department of Transportation), county juvenile justice systems (Harris County), county employee benefits consortiums (Collier County), and large county health systems, with response dates ranging from September 2026 through April 2026 and contract values visible in only one record (Collier County's historical pharmacy spending at $8.7 million annually). No meaningful procurement activity under the code's stated surgical scope is evident in the source material, and pursuit decisions should reflect that this code does not appear to represent active state and local demand for the esophageal bypass procedure.