UNSPSC 85591452: Bypass middle 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 middle 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 0D128JA

UNSPSC 85591452 Bypass middle esophagus to jejunum with synthetic substitute, via natural or artificial opening endoscopic is a Commodity code whose nominal clinical taxonomy does not align with the recent state and local procurement activity tagged under it. The code shows little relevant recent activity; the solicitations posted under this code address occupational medical surveillance, independent disability medical evaluations, pharmacy benefit management, temporary health professional staffing, surgical procedure carve-out networks, and emergency medical services for detained youth — none of which involve esophageal bypass procedures or surgical interventions of the type the code nominally describes.

The mismatch between the code's clinical scope and the actual work being procured suggests either a cataloging error in the state and local systems tagging these opportunities or a misalignment in how this particular Commodity code has been applied across multiple issuing bodies. Bidders should verify the actual scope of work directly from each solicitation rather than relying on the code classification. The recent opportunities span the City of Phoenix Retirement Office (independent medical evaluation services), the City of Long Beach (surgical carve-out benefits), the Washington State Department of Transportation (occupational medical surveillance), Harris County Juvenile Probation Department (emergency medical services), Collier County (pharmacy benefit management), and the County of Santa Clara Health System (temporary staffing), with response dates ranging from September through October 2026 and contract values ranging from unspecified (RFI stage) to $8.7 million annually (PBM services).