UNSPSC 85591470: Bypass upper esophagus to cutaneous 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 cutaneous 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 0D118K4

UNSPSC 85591470 Bypass upper esophagus to cutaneous with nonautologous tissue substitute, via natural or artificial opening endoscopic is a Commodity code showing no relevant recent state and local procurement activity. The code describes a highly specific surgical procedure, whereas recent opportunities tagged under this code involve occupational medical surveillance, disability medical evaluations, pharmacy benefit management, temporary health professional staffing, and surgical benefit carve-out programs—none of which align with the esophageal bypass procedure named in the code. The mismatch suggests the code has been incorrectly applied to these opportunities or the code itself is not actively used in state and local procurement.

The recent opportunities that carry this code tag reflect broader health-care administrative and staffing services: the City of Phoenix Retirement Office seeking independent medical evaluation services for disability benefit determinations (RFP 26001, due October 16, 2026), the Washington State Department of Transportation requesting occupational medical surveillance across 14 ferry system locations (RFP 20260825, due October 9, 2026), the City of Long Beach procuring a surgical and medical procedure carve-out benefit program for employee health plans (RFP HR26753, due October 7, 2026), Harris County Juvenile Probation Department issuing an RFI for emergency and specialty medical services for detained youth, Collier County soliciting pharmacy benefit management services covering approximately 2,400 employees and 4,800 covered members (RFP 25-8414, submission deadline April 9, 2026), and Santa Clara County Health System establishing a qualified vendor pool for temporary health professional staffing across ancillary clinical categories including audiology, radiology, and respiratory care (due October 7, 2026). The issuing bodies span state departments, large counties, and municipal health systems across Arizona, Washington, California, Texas, and Florida. Absent concrete evidence that UNSPSC 85591470 is actually used for surgical procedure procurement in state and local government, this code does not warrant active pursuit.