UNSPSC 85591723: Bypass lower esophagus to duodenum, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass lower esophagus to duodenum, percutaneous endoscopic 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 0D134Z9

UNSPSC 85591723 Bypass lower esophagus to duodenum, percutaneous endoscopic approach is a Commodity code that describes a specific surgical procedure; however, the recent state and local contract opportunities tagged under this code show no alignment with the code's clinical scope. The opportunities posted under this code involve inmate medical and pharmacy services management, pharmacy benefit management administration, virtual primary and urgent care platform services, peer support for mental health workers, and fire department medical direction — none of which involve gastrointestinal bypass procedures or percutaneous endoscopic interventions. The mismatch suggests either a data classification error in the state and local procurement systems or that the code has been incorrectly applied to these opportunities by the issuing jurisdictions.

The recent opportunities span Florida (Collier County and Monroe County), Georgia (Columbus Consolidated Government for Muscogee County Prison), California (San Mateo County), and California (Santa Monica Fire Department), with contract values ranging from approximately $580,000 (San Mateo County peer support pilot) to $8.7 million in historical pharmacy spending (Collier County). None of these solicitations — an RFP for inmate medical services due May 15, 2026; an RFP for pharmacy benefit management due April 9, 2026; an RFP for virtual primary and urgent care due April 16, 2026; an RFP for peer worker support services; and an RFP for fire department medical direction — reflect procurement of the surgical procedure this code nominally describes. Vendors evaluating this code should verify the actual UNSPSC classifications assigned to health services and administrative medical support opportunities before pursuing activity under it.