UNSPSC 85591737: Bypass lower esophagus to jejunum with autologous tissue substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass lower esophagus to jejunum with autologous tissue 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 0D1347A

UNSPSC 85591737 Bypass lower esophagus to jejunum with autologous tissue substitute, percutaneous endoscopic approach is a Commodity code that describes a specific surgical procedure; however, recent state and local procurement activity does not align with this code's surgical-procedure scope. Instead, the recent opportunities tagged under this code reflect procurement of medical evaluation, surveillance, and staffing services unrelated to the named bypass procedure. The City of Phoenix Retirement Office is soliciting independent medical evaluation services for disability benefit determinations; the Washington State Department of Transportation is requesting occupational medical surveillance services for ferry system employees; the County of Santa Clara Health System is establishing a vendor pool for temporary ancillary health professional staffing; and Collier County is procuring pharmacy benefit management services. These solicitations span medical record review and summarization, occupational health examinations, specialty staffing placement, and pharmacy administration — none of which correspond to the esophageal bypass procedure named in the code. The issuing bodies include state departments, county health systems, and county procurement offices.

The geographic spread of recent activity includes Washington, California, Arizona, and Florida. The most representative opportunity is the Washington State Department of Transportation's occupational medical surveillance RFP (RFP20260825, due October 9, 2026), which requires baseline, periodic, and exit medical examinations across 14 ferry system locations statewide by a physician board-certified in occupational medicine, with a two-year term and options to extend for up to five additional one-year periods. The City of Phoenix Retirement Office's RFP for independent medical evaluation services (RTMRFP26001, due October 16, 2026) seeks comprehensive medical record review and disability examination scheduling for approximately 75 annual pension applications over five years at $750,000 total maximum compensation. The code shows little relevant recent activity in its stated surgical-procedure domain; the mismatch between code definition and actual procurement suggests this code may have been incorrectly applied to these opportunities by issuing bodies.