UNSPSC 85591475: Bypass upper esophagus to cutaneous 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 cutaneous 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 0D118J4

UNSPSC 85591475 Bypass upper esophagus to cutaneous with synthetic substitute, via natural or artificial opening endoscopic is a Commodity code that nominally describes a specific surgical procedure, but the recent state and local solicitations tagged under this code show little alignment with esophageal bypass work. Instead, the opportunities reflect a broader range of occupational health, disability evaluation, and employee benefits administration services—including occupational medical surveillance for transportation workers, independent medical evaluations for public safety pension determinations, pharmacy benefit management, temporary health professional staffing, and surgical benefit carve-outs for city employees. The issuing bodies include city retirement offices (Phoenix), state transportation departments (Washington State Department of Transportation), county health systems (Santa Clara County), county boards of commissioners (Collier County), and juvenile justice agencies (Harris County). The mismatch between the code's nominal scope and the actual work being solicited suggests either a data-tagging error or that the code is being used as a catch-all for health-care-related services procurement.

The recent activity spans Arizona, California, Florida, Texas, and Washington. The most visible recent opportunities are the City of Phoenix Retirement Office's RFP for independent medical evaluation services (due October 16, 2026, $750,000 maximum over five years), the Washington State Department of Transportation's RFP for occupational medical surveillance services for ferry workers across 14 locations (due October 9, 2026, with a pre-bid conference scheduled for August 31, 2026), the City of Long Beach's RFP for surgical benefit carve-out services for the Anthem PPO plan (due October 7, 2026, with evaluation weighting favoring organizational capacity and method of approach), and Collier County's RFP for pharmacy benefit management services covering approximately 2,400 enrolled employees (originally due April 9, 2026, with historical annual spending around $8.7 million). The code shows active state and local procurement but little evidence of the esophageal bypass procedures the UNSPSC taxonomy nominally describes.