UNSPSC 85591755: Bypass middle esophagus to cutaneous with synthetic substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass middle esophagus to cutaneous 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 0D124J4

UNSPSC 85591755 Bypass middle esophagus to cutaneous with synthetic substitute, percutaneous endoscopic approach is a Commodity code that shows no activity aligned with its nominal scope in recent state and local procurement. The code appears to describe a specific surgical procedure, yet the six recent opportunities posted under this classification—spanning Arizona, California, Washington, and Texas between July and September 2026—involve occupational medical surveillance, pharmacy benefit management, temporary health professional staffing, independent medical evaluations for disability determinations, surgical carve-out benefit programs, and emergency medical services for detained youth. None of these solicitations concern esophageal bypass procedures or related surgical interventions. The mismatch suggests the code has been applied as a catch-all medical services classifier by issuing bodies rather than as a precise procedure identifier.

The issuing bodies include city retirement offices (City of Phoenix), county human resources and health authorities (Collier County, Santa Clara County, Harris County), a state transportation agency (Washington State Department of Transportation), and a municipal health system (City of Long Beach). Geographic spread spans the Southwest (Arizona, California), Pacific Northwest (Washington), and South (Texas, Florida). Representative recent opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services due October 16, 2026 (maximum $750,000 over five years), the Washington State Department of Transportation's RFP for occupational medical surveillance services due October 9, 2026 with a pre-bid conference on August 31, and Collier County's RFP for pharmacy benefit management services covering approximately $8.7 million in annual spending. The code's misclassification reflects procurement-taxonomy drift rather than meaningful market activity in esophageal surgical procedures at the state and local level.