UNSPSC 85591463: Bypass upper esophagus to duodenum, via natural or artificial opening endoscopic

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass upper esophagus to duodenum, 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 0D118Z9

UNSPSC 85591463 Bypass upper esophagus to duodenum, via natural or artificial opening endoscopic is a Commodity code that shows minimal recent activity aligned with its nominal scope in state and local procurement. The recent opportunities posted under this code do not reflect the specialized surgical procedure the code describes; instead, they capture broader healthcare administration and service delivery, including inmate medical and pharmacy services, pharmacy benefit management, virtual primary and urgent care, peer support for mental health workers, and fire department medical direction. The issuing bodies span counties, municipalities, and special-purpose health districts across multiple states, but the work being solicited bears no clear connection to endoscopic esophageal bypass procedures.

Geographic activity appears concentrated in Florida and Georgia based on recent postings, with secondary activity in California and other states. Representative opportunities include Columbus Consolidated Government's RFP No. 26-0008 for comprehensive inmate medical and pharmacy services at Muscogee County Prison (due May 15, 2026), Collier County Board of County Commissioners' RFP 25-8414 for Pharmacy Benefit Management Services covering approximately 2,400 enrolled employees and 4,800 covered members (posted April 9, 2026), and Monroe County, Florida's RFP for Virtual Primary & Urgent Care Services for approximately 2,300 county members (due April 16, 2026). The code does not appear to capture relevant state and local procurement activity for the procedure it nominally describes; the misalignment between the code's clinical designation and the actual scope of recent solicitations suggests this code is either underutilized for its intended purpose or incorrectly assigned to healthcare administration opportunities that belong in broader service-delivery categories.