UNSPSC 85591733: Bypass lower esophagus to duodenum with synthetic substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass lower esophagus to duodenum with synthetic substitute, 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 0D134J9

UNSPSC 85591733 Bypass lower esophagus to duodenum with synthetic substitute, percutaneous endoscopic approach (Commodity) does not align with the recent state and local opportunities posted under this code. The six opportunities on record span occupational medical surveillance, independent medical evaluations for pension disability determinations, surgical benefit carve-out programs, emergency and specialty medical services for detained youth, pharmacy benefit management, and temporary health professional staffing — none of which involve the specific gastrointestinal surgical procedure named in the code taxonomy. The mismatch suggests either a data-classification anomaly or legacy mistagging within the state and local procurement system; the code appears to have minimal or no legitimate recent activity in state and local government purchasing.

The opportunities actually posted demonstrate that state and local health procurement under this code taxonomy focuses on medical service administration, provider networks, and clinical staffing rather than surgical procedures themselves. Issuing bodies include city pension boards (Phoenix), municipal health systems (Long Beach, Santa Clara County), state transportation agencies (Washington State Department of Transportation), county probation departments (Harris County), and county commissioners' offices (Collier County), suggesting fragmented purchasing across health administration, benefits management, and institutional healthcare. Geographic spread includes Arizona, California, Florida, Texas, and Washington. Representative recent solicitations include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (due October 16, 2026) and the Washington State Department of Transportation's RFP for occupational medical surveillance services for ferry workers across 14 Washington locations (due October 9, 2026, pre-bid August 31). The code does not support pursuit under its stated scope.