UNSPSC 85591583: Bypass upper esophagus to cutaneous with synthetic substitute, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass upper esophagus to cutaneous with synthetic 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 0D110J4

UNSPSC 85591583 Bypass upper esophagus to cutaneous with synthetic substitute, open approach is a Commodity code that nominally describes a surgical procedure, but recent state and local contract opportunities show no direct procurement of this specific procedure as a medical device or implant. Instead, the code appears in solicitations for occupational medical surveillance, independent medical evaluations, pharmacy benefit management, temporary health professional staffing, and surgical benefit carve-out programs—service-side healthcare administration rather than the procedural implant the code name suggests. The issuing bodies include city retirement offices, county health systems, state transportation departments, and county commissioners, spanning Arizona, California, Washington, Florida, and Texas. The work being purchased is medical record review and disability evaluation coordination, occupational health examinations for transportation workers, specialty surgical networks through centers of excellence, and temporary clinical staffing—activities tangential or unrelated to the code's stated scope.

Geographic activity appears concentrated in California and Washington, with single recent opportunities in Arizona (City of Phoenix Retirement Office), Texas (Harris County Juvenile Probation Department), and Florida (Collier County Board of County Commissioners). Representative recent solicitations include the Washington State Department of Transportation's occupational medical surveillance RFP (RFP20260825, due October 9, 2026) seeking baseline and periodic medical examinations across 14 ferry locations; the City of Phoenix Retirement Office's independent medical evaluation services RFP (RTMRFP26001, due October 16, 2026) for disability benefit determinations; and the County of Santa Clara Health System's temporary health professional staffing qualification pool (RFSQHHSFY270052, due October 7, 2026) covering ancillary clinical categories. The code shows limited relevance to actual state and local procurement activity under this Commodity designation and warrants reassessment for code alignment.