UNSPSC 85591466: Bypass upper 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 upper 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 0D118KB

UNSPSC 85591466 Bypass upper esophagus to ileum with nonautologous tissue substitute, via natural or artificial opening endoscopic, Commodity code, describes a highly specialized surgical procedure that does not align with any of the recent state and local procurement activity posted under this code. The six recent opportunities solicited by state and local agencies—independent medical evaluation services for public safety retirement determinations, surgical benefit carve-out programs, occupational medical surveillance, emergency and specialty healthcare for detained youth, pharmacy benefit management, and temporary health professional staffing—involve procurement of administrative health services, clinical staffing, and benefits management rather than implantable medical devices, surgical supplies, or procedure-specific materials.

The source shows no recent solicitations for the specific surgical procedure or related materials that the code nominally describes. The mismatch between the UNSPSC taxonomy entry and the actual opportunities posted suggests either systematic miscoding by the issuing bodies or that this code does not see regular procurement activity at the state and local level. State and local agencies posting under this code in the past two months include the City of Phoenix, City of Long Beach, Washington State Department of Transportation, Harris County Juvenile Probation Department, Collier County, and Santa Clara County Health System, but none of their solicitations involve the bypass procedure or comparable surgical supplies. Until opportunities materially aligned with the code's scope appear in recent postings, treating this as an active procurement category carries significant execution risk.