UNSPSC 85591759: Bypass middle esophagus to stomach 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 stomach 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 0D12476

UNSPSC 85591759 Bypass middle esophagus to stomach with autologous tissue substitute, percutaneous endoscopic approach is a Commodity code that shows minimal alignment with state and local procurement activity. The code nominally describes a specific surgical procedure, but the recent opportunities posted under this code do not involve esophageal bypass surgery or related surgical techniques. Instead, state and local jurisdictions tagging opportunities with this code are soliciting independent medical evaluation services, occupational medical surveillance, pharmacy benefit management, temporary health professional staffing, and surgical benefit carve-out programs for employee health plans. The mismatch between the code's stated scope and the work actually being transacted suggests either miscoding by individual procurement offices or that the code has been repurposed in state and local systems to encompass broader medical services. The issuing bodies include city retirement offices (Phoenix), county health systems (Santa Clara, Harris County), county benefits procurement (Collier County), city human resources departments (Long Beach), and state transportation agencies (Washington State Department of Transportation).

Recent opportunities span Arizona, California, Florida, Texas, and Washington. Representative solicitations include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (RTMRFP26001, due October 16, 2026, $750,000 five-year contract), the Washington State Department of Transportation's RFP for occupational medical surveillance services across ferry system locations (RFP20260825, due October 9, 2026, with pre-bid conference August 31, 2026), the County of Santa Clara Health System's RFSQ for temporary health professional staffing across 13 ancillary clinical categories (RFSQHHSFY270052, due October 7, 2026, non-exclusive multiple-award vehicle), and the City of Long Beach's HR26753 solicitation for surgical benefit carve-out programs through Centers of Excellence (due October 7, 2026, contract execution targeted April 1, 2027). No recent activity supports procurement of the specific esophageal bypass procedure described in the code's nominal title.