UNSPSC 85594005: Bypass ileum to cutaneous, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass ileum to cutaneous, 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 0D1B0Z4

UNSPSC 85594005 Bypass ileum to cutaneous, open approach is a Commodity code that does not reflect the work actually being solicited under it in recent state and local procurement activity. The code nominally describes a surgical procedure, but the recent opportunities tagged to it are healthcare administration and management contracts—inmate medical and pharmacy services, pharmacy benefit management, virtual primary and urgent care services, peer support programs, and fire department medical direction—none of which involve surgical intervention. The mismatch between the code's clinical descriptor and the scope of actual solicitations signals either a taxonomy misclassification at the point of posting or a systematic tagging error across multiple issuing bodies.

The recent opportunities show healthcare services procurement activity across Florida (Collier County and Monroe County), Georgia (Columbus Consolidated Government for Muscogee County Prison), California (San Mateo County), and California municipalities (Santa Monica Fire Department), with issuers spanning county governments, consolidated city-county authorities, and special-purpose fire departments. Representative solicitations include the Columbus Consolidated Government's RFP No. 26-0008 for comprehensive inmate medical and pharmacy services at Muscogee County Prison (RFP due May 15, 2026), Collier County's RFP 25-8414 for Pharmacy Benefit Management Services covering approximately 7,200 plan members with historical annual spending near $8.7 million (RFP due April 9, 2026), Monroe County's RFP for Virtual Primary and Urgent Care Services for 2,300 county members (proposals due April 16, 2026 via Bonfire), and San Mateo County's RFP No. 2025-007 for a Mental Health Services Act peer support pilot with $580,000 total funding over three years (proposals due July 2, 2025). Given the absence of alignment between the code's nominal scope and the work being purchased, this code warrants review for reclassification or audit of the issuing bodies' taxonomy practices before pursuit decisions are made.