UNSPSC 85591556: Bypass middle esophagus to duodenum with nonautologous tissue substitute, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass middle esophagus to duodenum with nonautologous 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 0D120K9

UNSPSC 85591556 Bypass middle esophagus to duodenum with nonautologous tissue substitute, open approach is a Commodity code that shows minimal alignment with actual state and local procurement activity. The code's nominal scope describes a specific surgical procedure, yet the recent opportunities posted under this designation involve occupational medical surveillance, disability benefit evaluations, pharmacy benefit management, temporary health professional staffing, surgical care center-of-excellence networks, and youth detention medical services — none of which correspond to esophageal bypass surgery procurement. State and local governments do not appear to be buying esophageal bypass procedures themselves; instead, they are contracting for medical administration, staffing, and benefit management services that tangentially touch clinical domains but do not involve procurement of this procedure as a defined product or service line.

Recent activity spans Arizona, California, Florida, and Washington, with no concentration pattern. The City of Phoenix Retirement Office posted RTMRFP26001 on September 16, 2026 (RFP due October 16, 2026) for independent medical evaluation services totaling $750,000 over five years; the City of Long Beach posted HR26753 on August 26, 2026 (RFP due October 7, 2026) for surgical benefits carve-out programs covering knee, hip, orthopedic, shoulder, spine, heart, weight loss, and oncology procedures; the Washington State Department of Transportation posted RFP20260825 on August 25, 2026 (IFB due October 9, 2026) for occupational medical surveillance; and Collier County issued RFP 25-8414 on August 20, 2026 for pharmacy benefit management covering approximately 2,400 employees and 4,800 covered members with historical annual spending near $8.7 million. The mismatch between the code's surgical nomenclature and the administrative, staffing, and benefits-management work actually being solicited suggests either a tagging error in the source data or that this code is not actively used for state and local health services procurement.