UNSPSC 85594553: Bypass duodenum to ileum with nonautologous tissue substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass duodenum to ileum 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 0D194KB

UNSPSC 85594553 Bypass duodenum to ileum with nonautologous tissue substitute, percutaneous endoscopic approach (Commodity) shows a significant mismatch between the code's nominal medical procedure scope and the actual work state and local governments are soliciting under it. Recent opportunities tagged with this code do not involve surgical bypass procedures or gastrointestinal interventions. Instead, they cover occupational medical surveillance, disability medical evaluations, pharmacy benefit management, temporary clinical staffing placement, surgical carve-out networks for employees, and emergency medical services for youth in custody—none of which align with the specific surgical procedure named in the code. The issuing bodies are mixed municipal, county, and state agencies: the City of Phoenix Retirement Office, City of Long Beach, Washington State Department of Transportation, Harris County Juvenile Probation Department, Collier County Board of Commissioners, and County of Santa Clara Health System. This diversity suggests the code may be misapplied across these jurisdictions rather than reflecting a coherent procurement family.

The geographic spread spans Washington, Arizona, California, Florida, and Texas based on recent posting dates from July through September 2026. Representative recent opportunities include the Washington State Department of Transportation's occupational medical surveillance RFQ with response due October 9, 2026; the City of Phoenix Retirement Office's independent medical evaluation services RFP due October 16, 2026; and the County of Santa Clara Health System's temporary health professional staffing RFP due October 7, 2026. The Collier County Pharmacy Benefit Management RFP, due April 9, 2026 (a past deadline), represented estimated annual pharmacy spend of approximately $8.7 million. Given the disconnect between the code's procedural name and the actual solicitation content, this code appears to carry minimal relevance for vendors seeking alignment with state and local medical procurement activity.