UNSPSC 85591767: Bypass upper esophagus to jejunum with nonautologous tissue substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass upper esophagus to jejunum with nonautologous 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 0D114KA

UNSPSC 85591767 Bypass upper esophagus to jejunum with nonautologous tissue substitute, percutaneous endoscopic approach is a Commodity code that appears in state and local procurement records with little relevance to the code's nominal scope. The recent opportunities tagged under this code do not reflect surgical procedure codes or medical device procurement; instead, they span occupational health surveillance, employee benefit administration, pharmacy management, medical staffing pools, and independent medical evaluations for pension disability determinations. The disconnect between the code's medical procedure nomenclature and the actual work being solicited suggests either a cataloging error in source systems or the use of a placeholder code by issuing bodies for health services contracting that does not map cleanly to the UNSPSC surgical taxonomy.

The issuing bodies include state health agencies (Washington State Department of Transportation on behalf of state ferries), large county governments (Harris County, Collier County, Santa Clara County), municipal employee benefit offices (City of Phoenix Retirement Office, City of Long Beach), and county health systems. Recent opportunities span independent medical evaluation services for pension boards in Arizona (City of Phoenix, RFP due October 16, 2026), occupational medical surveillance for ferry workers across 14 Washington State locations (WSDOT, RFP due October 9, 2026 with pre-bid August 31, 2026), surgical procedure Centers of Excellence carve-out networks for municipal employees (City of Long Beach, RFP due October 7, 2026), temporary clinical staffing qualification pools (Santa Clara County Health System, RFP due October 7, 2026), and pharmacy benefit management (Collier County, RFP due April 9, 2026 with $8.7 million annual historical spend). The code shows no concentrated pattern of procurement activity and no clear alignment with the surgical procedure described in its name.