UNSPSC 85594559: Bypass duodenum to duodenum with synthetic substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass duodenum to duodenum with synthetic 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 0D194J9

UNSPSC 85594559 Bypass duodenum to duodenum with synthetic substitute, percutaneous endoscopic approach is a Commodity code that shows little relevant recent activity aligned with its clinical procedure scope. The code nominally describes a specific surgical intervention—creation of a duodenal bypass using synthetic material via endoscopic approach—yet the state and local opportunities tagged to it consist primarily of institutional healthcare administration and management services unrelated to the procedure itself. Recent solicitations include comprehensive inmate medical and pharmacy services for a county correctional facility, pharmacy benefit management for a county workforce, virtual primary and urgent care platform services, peer support services for mental health workers, and fire department medical direction. None of these opportunities involve duodenal bypass procedures or related surgical interventions. The issuing bodies span county governments (Muscogee County in Georgia, Collier County in Florida, Monroe County in Florida), a county behavioral health department (San Mateo County in California), and a municipal fire department (Santa Monica, California), reflecting a mix of corrections, human resources health benefits administration, and public health service procurement rather than specialty surgical contracting.

The geographic spread of tagged opportunities spans Georgia, Florida, and California, with no concentrated activity in any single state or region. The most recent opportunity—Muscogee County Prison inmate medical and pharmacy services (RFP 26-0008, posted April 15, 2026, due May 15, 2026)—represents standard institutional care procurement with a current monthly cost of $95,537.71 and a contract term of two years with three optional one-year renewals. Collier County's pharmacy benefit management RFP (posted April 9, 2026, due April 9, 2026) covers approximately 2,400 employees and 4,800 covered members with historical annual pharmacy spending near $8.7 million. Monroe County's virtual primary and urgent care RFP (posted March 14, 2026, due April 16, 2026) serves approximately 2,300 county members. The mismatch between the code's procedural scope and the activities actually being procured suggests the code assignment reflects a data categorization error rather than meaningful market demand for bypass duodenum procedures within state and local procurement channels.