UNSPSC 85594049: Bypass duodenum to ileum with nonautologous tissue substitute, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass duodenum to ileum with nonautologous tissue 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 0D190KB

UNSPSC 85594049 Bypass duodenum to ileum with nonautologous tissue substitute, open approach is a Commodity code that appears misaligned with recent state and local procurement activity. The code nominally describes a surgical procedure, but the recent state and local opportunities posted under this code do not involve gastrointestinal bypass surgery or its procurement. Instead, the tagged opportunities span occupational medical surveillance, disability medical evaluation services, pharmacy benefit management, temporary health professional staffing, Center of Excellence carve-out programs for municipal employees, and youth detention medical services. No recent solicitations under this code involve the acquisition or supply of bypass devices, implants, or the procedure itself as typically procured in surgical supply chains. The mismatch suggests the code has been applied to these opportunities incorrectly or is used inconsistently across jurisdictions for broader medical services procurement.

State and local issuing bodies using this code include county health systems (Santa Clara County Health System), county boards of commissioners (Collier County), city retirement offices (City of Phoenix), state transportation departments (Washington State Department of Transportation), city governments (City of Long Beach), and county juvenile justice departments (Harris County). The geographic spread spans California, Arizona, Washington, Florida, and Texas. Representative recent opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (RTMRFP26001, due October 16, 2026), the Washington State Department of Transportation's RFP for occupational medical surveillance services (RFP20260825, due October 9, 2026), the County of Santa Clara Health System's RFQ for temporary health professional staffing (RFSQHHSFY270052, due October 7, 2026), and Collier County's RFP for pharmacy benefit management services (RFP 25-8414, due April 9, 2026). Given the absence of genuine procedural or device procurement activity under this code, the code does not present a viable business development target for firms pursuing state and local surgical supply or medical device contracts.