UNSPSC 85591477: Bypass upper esophagus to jejunum with autologous 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 jejunum with autologous 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 0D1187A

UNSPSC 85591477 Bypass upper esophagus to jejunum with autologous tissue substitute, via natural or artificial opening endoscopic is a Commodity code that shows no meaningful alignment with state and local procurement activity. The code's clinical-procedure nomenclature does not match the scope of recent opportunities tagged under it; instead, the most recent state and local solicitations address occupational health surveillance, disability medical evaluations, surgical benefit administration, pharmacy benefit management, temporary health professional staffing, and youth detention healthcare services—none of which involve the specific esophageal-bypass surgical procedure the code nominally describes.

Recent opportunities span Arizona (City of Phoenix Retirement Office RFP for disability medical record summary and independent medical evaluation services, due October 16, 2026); California (City of Long Beach RFP for surgical carve-out benefits carve-out and Centers of Excellence networks, due October 7, 2026; County of Santa Clara Health System RFQ for temporary health professional staffing pool, due October 7, 2026); Washington (Washington State Department of Transportation RFP for occupational medical surveillance, due October 9, 2026); Florida (Collier County RFP for pharmacy benefit management, due April 9, 2026); and Texas (Harris County Juvenile Probation Department RFI for specialty and emergency medical services for detained youth, due September 25, 2026). The code shows low procurement activity relative to its narrow clinical scope and exhibits a structural mismatch between UNSPSC taxonomy and actual state and local health services buying—a signal that this commodity code may be applied inconsistently or that the code itself sees minimal targeted state-local procurement in its actual clinical domain.