UNSPSC 85591458: Bypass middle 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 middle 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 0D12879

UNSPSC 85591458 Bypass middle esophagus to duodenum with autologous tissue substitute, via natural or artificial opening endoscopic is a Commodity code that does not reflect the medical services state and local governments are actually procuring under this taxonomy entry. The recent state and local opportunities tagged to this code include independent disability medical evaluations, surgical benefit carve-outs, occupational health surveillance, youth detention emergency and specialty care, pharmacy benefit management, and temporary health professional staffing—none of which align with the specific surgical procedure named in the code. The mismatch between the code's clinical descriptor and the breadth of health administration and staffing services appearing in current solicitations suggests either a systematic tagging error in the underlying procurement database or that this code does not meaningfully represent a distinct procurement category in the state and local market.

The issuing bodies include city retirement offices (Phoenix), municipalities (Long Beach), state transportation agencies (Washington), county governments (Harris County, Collier County), county health systems (Santa Clara), and county juvenile justice departments (Harris County). Geographic distribution spans Arizona, California, Florida, Texas, and Washington. Representative recent opportunities include the City of Phoenix Retirement Office's RFP for disability medical record summary and independent medical evaluation services (due October 16, 2026, $750,000 over five years); the Washington State Department of Transportation's RFP for occupational medical surveillance services across 14 ferry locations statewide (due October 9, 2026, pre-bid August 31, 2026); and the County of Santa Clara Health System's non-exclusive multiple-award RFSQ for temporary ancillary health professional staffing across 13 clinical categories (due October 7, 2026). This code warrants investigation as a data-quality issue rather than pursuit as an active procurement category.