UNSPSC 85591527: Bypass esophagus to stomach with autologous tissue substitute, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass esophagus to stomach with autologous tissue substitute, open approach. 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 0D15076

UNSPSC 85591527 Bypass esophagus to stomach with autologous tissue substitute, open approach is a Commodity code that does not reflect the work actually being solicited in current state and local procurement. The recent opportunities posted under this code span occupational medical surveillance, independent disability medical evaluations, pharmacy benefit management, temporary health professional staffing, surgical carve-out benefits administration, and emergency medical services for youth in custody—none of which involve the specific surgical procedure named in the code. The mismatch suggests either miscoding by issuing bodies or a data-entry error in the taxonomy assignment; the code itself names a narrow surgical intervention, while the actual buying activity encompasses a broad range of administrative healthcare services, medical evaluations, and benefits management programs.

The issuing bodies include state transportation agencies (Washington State Department of Transportation), county governments (Collier County, Harris County, Santa Clara County), and cities (Phoenix, Long Beach), indicating that code tagging at the Commodity level varies significantly across jurisdictions. Recent opportunities cluster in the Southwest and West Coast, with activity in Arizona, California, Florida, Texas, and Washington. Representative recent solicitations include the Washington State Department of Transportation's October 9, 2026 occupational medical surveillance RFP (baseline and periodic examinations across 14 ferry locations), the City of Phoenix Retirement Office's October 16, 2026 RFP for independent medical evaluation services supporting disability determinations ($750,000 five-year maximum), and the County of Santa Clara Health System's October 7, 2026 multiple-award RFSQ establishing a temporary health professional staffing qualified vendor pool across 13 ancillary clinical categories. Given the disconnect between the code definition and current procurement activity, this code warrants review for recategorization or is being applied inconsistently across issuing bodies.