UNSPSC 85593836: Supplement duodenum with synthetic substitute, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to supplement duodenum with synthetic substitute, 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 0DU90JZ

UNSPSC 85593836 Supplement duodenum with synthetic substitute, open approach is a Commodity code whose nominal scope—surgical implantation of synthetic duodenal substitutes—does not align with the state and local procurement activity currently tagged under it. The recent opportunities posted under this code reflect healthcare services procurement: inmate medical and pharmacy services, pharmacy benefit management for county employees, virtual primary and urgent care services, peer support for behavioral health workers, and fire department medical direction. None of these solicitations involve surgical implants or gastrointestinal procedures. The mismatch suggests either a classification error in how opportunities are tagged or a fundamental misalignment between the code's clinical definition and its application in practice.

The recent opportunities span Florida (Collier County and Monroe County), Georgia (Muscogee County), California (San Mateo County), and California (Santa Monica), with issuing bodies including county commissioners' offices, a county health department, a fire department, and a behavioral health authority. Activity is fragmented across healthcare administration and operational support rather than concentrated. Representative recent solicitations include Columbus Consolidated Government's RFP 26-0008 for inmate medical and pharmacy services at Muscogee County Prison (due May 15, 2026, evaluating on qualifications 40%, service plan 40%, work history 15%, and cost 5%); Collier County Board of County Commissioners' RFP 25-8414 for pharmacy benefit management services covering approximately 7,200 members with historical annual spending around $8.7 million (due April 9, 2026); and Monroe County Board of County Commissioners' RFP for virtual primary and urgent care services for approximately 2,300 county members (due April 16, 2026). The code shows no relevant recent activity for the surgical implant services its name describes.