UNSPSC 85591757: Bypass middle 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 middle 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 0D1247A

UNSPSC 85591757 Bypass middle esophagus to jejunum with autologous tissue substitute, percutaneous endoscopic approach is a Commodity code that, based on recent state and local solicitation activity, does not align with the medical and healthcare service procurement actually occurring under this taxonomy entry. The recent opportunities tagged to this code—independent medical evaluation services for pension disability determinations, surgical benefit carve-out programs, occupational medical surveillance, emergency and specialty care for detained youth, pharmacy benefit management, and temporary health professional staffing—represent administrative healthcare services, occupational health management, and clinical staffing arrangements rather than a specific surgical procedure. These solicitations reflect the breadth of healthcare contracting by state and local employers and public health systems but bear no relationship to the code's nominal scope of a gastroenterological bypass procedure.

The issuing bodies include city retirement offices (City of Phoenix), municipal human resources divisions (City of Long Beach), state transportation departments (Washington State Department of Transportation), county juvenile justice authorities (Harris County), county commissioners (Collier County), and county health systems (Santa Clara County). Geographic activity spans the Southwest (Arizona), Southern California (Long Beach), the Pacific Northwest (Washington), Texas (Harris County), Florida (Collier County), and Northern California (Santa Clara). Because the code's technical description names a surgical procedure while the actual recent opportunities reflect healthcare administration and staffing, the code appears to carry a misalignment between its UNSPSC taxonomy designation and the work state and local governments are actually sourcing.