UNSPSC 85591574: Bypass upper esophagus to ileum with nonautologous tissue substitute, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass upper esophagus to ileum 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 0D110KB

UNSPSC 85591574 Bypass upper esophagus to ileum with nonautologous tissue substitute, open approach is a Commodity code that the taxonomy nominally describes as a surgical procedure, but the recent state and local contract opportunities tagged under this code show little alignment with that scope. The six recent opportunities span independent medical evaluation services for pension disability determinations, surgical procedure carve-out benefits management for municipal employees, occupational medical surveillance for ferry system workers, emergency and specialty medical services for youth in custody, pharmacy benefit management administration, and temporary health professional staffing—none of which involve bypass surgery or tissue substitutes. The mismatch suggests either a cataloging error in the state and local procurement systems or that this Commodity code is being misapplied to broader healthcare administration and staffing services that fall outside its nominal definition.

Activity under the code spans multiple issuing bodies including municipalities (City of Phoenix, City of Long Beach), state transportation departments (Washington State Department of Transportation), county-level healthcare systems and probation departments (Harris County Juvenile Probation Department, County of Santa Clara Health System, Collier County), and regional public agencies. Recent opportunities appeared in Arizona, California, Florida, and Washington between late July and mid-September 2026, with response dates ranging from September 25 through October 16, 2026. Representative solicitations include the City of Phoenix Retirement Office's request for disability medical record summary and independent medical examination services (RFP, due October 16, 2026, $750,000 over five years), the Washington State Department of Transportation's occupational medical surveillance services procurement for ferry system employees across 14 locations (IFB, due October 9, 2026, with pre-bid conference August 31), and the County of Santa Clara Health System's non-exclusive multiple-award qualification vehicle for temporary health professional staffing in ancillary clinical categories (RFQ, due October 7, 2026). The code shows no relevant recent activity in the medical device or surgical procedure category the taxonomy nominally defines.