UNSPSC 85591601: Bypass esophagus to cutaneous with synthetic substitute, percutaneous approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass esophagus to cutaneous with synthetic substitute, percutaneous 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 0D153J4

UNSPSC 85591601, "Bypass esophagus to cutaneous with synthetic substitute, percutaneous approach," is a Commodity code that does not align with recent state and local procurement activity. The code nominally describes a specific surgical procedure, yet the most recent state and local contract opportunities tagged under it reflect broad health services contracting—independent medical evaluations for disability determinations, surgical carve-out benefits management, occupational health surveillance, emergency and specialty care for detained youth, pharmacy benefit management, and temporary clinical staffing—none of which involve the implantation or surgical reconstruction described in the code's title. The mismatch suggests either a data-tagging error in the source records or a systematic misalignment between the code's clinical specificity and how state and local procurement offices are using it in practice.

The issuing bodies across the recent opportunities span city retirement offices (Phoenix), municipal health systems (Long Beach), state transportation departments (Washington), county juvenile justice systems (Harris County), county human resources divisions (Collier County), and regional health authorities (Santa Clara County). No repeat buyer appears in the recent record. Geographic activity includes Arizona, California, Washington, Texas, and Florida. Representative recent opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services supporting disability benefit determinations (due October 16, 2026, maximum contract value $750,000 over five years); the City of Long Beach's RFP for surgical procedure carve-out benefits through Centers of Excellence (due October 7, 2026, targeting implementation April 1, 2027); and the Washington State Department of Transportation's RFP for occupational medical surveillance services across fourteen ferry system locations (due October 9, 2026, with pre-bid conference August 31, 2026). Given the code's surgical-procedure nomenclature and the absence of relevant opportunities, this code warrants careful scrutiny before pursuing activity.