UNSPSC 85591478: Bypass upper esophagus to duodenum 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 duodenum 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 0D11879

UNSPSC 85591478 Bypass upper esophagus to duodenum with autologous tissue substitute, via natural or artificial opening endoscopic is a Commodity code that maps nominally to a specific surgical procedure, but the recent state and local opportunities tagged under this code show no alignment with that scope. Instead, the tagged solicitations span occupational medical surveillance, disability medical record summary and independent medical evaluations, pharmacy benefit management, surgical benefit network management through Centers of Excellence, temporary health professional staffing across ancillary clinical categories, and emergency medical services for youth in custody — none of which describe the esophageal-duodenal bypass procedure the code nominally names. The mismatch suggests either persistent miscoding in state and local procurement systems or a systematic tag error, rather than legitimate procurement activity under this Commodity code's stated scope.

The recent opportunities originate from diverse issuing bodies: the City of Phoenix Retirement Office (independent medical evaluations for public safety pension disability determinations), the City of Long Beach (surgical benefit carve-out for employee health plans), the Washington State Department of Transportation (occupational medical surveillance for ferry workers), Harris County Juvenile Probation Department (emergency and specialty medical services for detained youth), the Collier County Board of County Commissioners (pharmacy benefit management), and the County of Santa Clara Health System (temporary health professional staffing). Geographic spread includes Arizona, California, Florida, and Washington, reflecting activity across multiple regions. Given the lack of relevant recent procurement aligned to the code's nominal surgical scope, the code shows little actionable opportunity for vendors in the esophageal-duodenum surgical space.