UNSPSC 85591762: Bypass upper esophagus to jejunum, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass upper esophagus to jejunum, 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 0D114ZA

UNSPSC 85591762 Bypass upper esophagus to jejunum, percutaneous endoscopic approach is a Commodity code that describes a specific surgical procedure, but the recent state and local contract opportunities posted under this code show little alignment with the code's nominal scope. The opportunities actually solicited include comprehensive inmate medical and pharmacy services for a county correctional facility, pharmacy benefit management services for county employees, virtual primary and urgent care services for county members, peer support services for mental health workers, and fire department medical director services—none of which involve the gastrointestinal surgical procedure the code nominally describes. The issuing bodies span county governments (Muscogee County in Georgia, Collier County in Florida, Monroe County in Florida, and Santa Monica in California) and county health departments (San Mateo County in California), suggesting the code may have been misapplied in classification or that the opportunities reflect broader healthcare service categories rather than this specific procedure line.

The geographic activity spans Florida, Georgia, and California, with opportunities posted between February and April 2026. Representative recent solicitations include Muscogee County's RFP No. 26-0008 for inmate medical and pharmacy services (due May 15, 2026), Collier County's RFP 25-8414 for pharmacy benefit management services (due April 9, 2026 with historical pharmacy spending of approximately $8.7 million annually), and Monroe County's RFP for virtual primary and urgent care services (due April 16, 2026). The code shows no clear relevance to the surgical procedure it nominally represents, and pursuit decisions should reflect the mismatch between the code taxonomy and the healthcare administrative and clinical services state and local governments are actually buying under it.