UNSPSC 85591471: Bypass upper esophagus to ileum 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 upper esophagus to ileum 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 0D118JB

UNSPSC 85591471 Bypass upper esophagus to ileum with synthetic substitute, via natural or artificial opening endoscopic is a Commodity code that describes a specific surgical procedure. The recent state and local contract opportunities tagged under this code show little alignment with the code's nominal scope; instead, the opportunities cluster around occupational medical surveillance, disability medical evaluation services, pharmacy benefit management, surgical procedure carve-out networks, and temporary health professional staffing. The code appears to mislabel what state and local entities are actually procuring — medical services administration and staffing support, not the specialized gastrointestinal bypass procedure the code nominally names. Issuing bodies include county health systems, county commissioners' offices, state transportation departments, municipal retirement boards, and county juvenile probation departments, spanning oversight of employee health plans, occupational safety compliance, retiree disability determinations, and youth detention healthcare.

Recent opportunities are geographically dispersed across Arizona, California, Florida, and Washington. The Washington State Department of Transportation (WSF) posted an RFP for occupational medical surveillance services across 14 Washington State ferry locations, with proposals due October 9, 2026 and a pre-bid conference held August 31, 2026. The City of Phoenix Retirement Office solicited independent medical evaluation services for disability pension determinations with a $750,000 five-year contract maximum and proposals due October 16, 2026. The City of Long Beach requested proposals for a surgical procedure carve-out program covering knee, hip, orthopedic, shoulder, spine, heart, weight loss, and oncology procedures, with proposals due October 7, 2026 and anticipated go-live April 1, 2027. Collier County Board of County Commissioners issued an RFP for pharmacy benefit management services with historical spending around $8.7 million annually and a three-year initial term effective January 1, 2026. The code shows material recent activity but with significant mismatch between its nominal procedural description and the medical administration and staffing work state and local buyers are actually sourcing.