UNSPSC 85593049: Occlusion of esophagogastric junction, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to occlusion of esophagogastric junction, open 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 0DL40ZZ

UNSPSC 85593049 Occlusion of esophagogastric junction, open approach (Commodity) shows a significant mismatch between the code's nominal scope—a clinical procedure code for surgical intervention on the esophagogastric junction—and the medical and health services state and local governments are actually buying. Recent solicitations under this code do not target surgical procedures themselves but rather occupational health surveillance, disability medical evaluations, pharmacy benefit management, temporary health professional staffing, emergency and inpatient hospital services for detained youth, and specialty medical procedure carve-out networks. The code appears to capture a broad range of health administration, medical staffing, and benefits management services rather than esophageal surgical procedures. Issuing bodies include county health systems, county boards of commissioners, state transportation agencies, county probation departments, city retirement offices, and municipal procurement divisions. These range across regional health networks (Santa Clara County Health System), large metropolitan health authorities (Long Beach, Phoenix), specialized public-safety pension boards, and detention-facility operators, indicating a fragmented buyer base with no single dominant jurisdiction.

Geographic activity spans California (Santa Clara, Long Beach), Arizona (Phoenix), Washington (statewide ferries), Texas (Harris County), and Florida (Collier County), with recent solicitations concentrated in the West and South. Representative current opportunities include the Washington State Department of Transportation's RFP for occupational medical surveillance services across 14 ferry locations with proposals due October 9, 2026; the City of Phoenix Retirement Office's RFP for independent medical evaluation services for disability benefit determinations with a $750,000 five-year contract maximum and proposals due October 16, 2026; the County of Santa Clara Health System's non-exclusive multiple-award qualification vehicle for temporary health professional staffing across 13 ancillary clinical categories with proposals due October 7, 2026; and Collier County's RFP for pharmacy benefit management services covering approximately 2,400 active employees with $8.7 million in historical annual pharmacy spending and a three-year initial term effective January 1, 2026. The code's active use for health administration and benefits services suggests procurement professionals should verify code assignment with individual issuing bodies, as the code's procedural name does not reflect actual buying patterns in the market.