UNSPSC 85594940: Bypass jejunum to rectum with autologous tissue substitute, via natural or artificial opening endoscopic

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass jejunum to rectum with autologous tissue substitute, via natural or artificial opening endoscopic. 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 0D1A87P

UNSPSC 85594940 Bypass jejunum to rectum with autologous tissue substitute, via natural or artificial opening endoscopic is a Commodity code that nominally describes a specific surgical procedure, but recent state and local procurement activity under this code does not reflect actual solicitation for that procedure. Instead, the code appears to be used incidentally or incorrectly by issuing bodies procuring medical services, occupational health surveillance, pharmacy benefit management, and temporary health professional staffing — none of which align with the surgical-procedure scope the code name specifies. The City of Phoenix Retirement Office is soliciting independent medical evaluation services for disability benefit determinations under the Public Safety Personnel Retirement System, including medical record review and coordination of physician examinations for approximately 75 annual applications, with a maximum contract value of $750,000 over five years commencing February 3, 2027. The City of Long Beach is requesting proposals for a surgical and medical procedure carve-out benefit program offering Centers of Excellence networks for knee, hip, orthopedic, shoulder, spine, heart, weight loss, and oncology procedures through its Anthem Blue Cross PPO plan, covering approximately 3,800 active employees and retirees. The Washington State Department of Transportation is procuring occupational medical surveillance services for Washington State Ferries employees across 14 ferry system locations, including baseline, periodic, follow-up, and exit examinations for shipyard workers, engine crew, deck crew, and asbestos team members, with a two-year initial term and options to extend for up to five additional one-year terms.

The issuing bodies include city pension boards, city employee benefits offices, state transportation departments, county juvenile justice systems, county health consortia, and regional health systems. Geographic activity spans Arizona, California, Washington, Florida, and Texas based on recent solicitations. The Washington State Ferries solicitation (RFP20260825, due October 9, 2026) includes a pre-bid conference scheduled for August 31, 2026, with the Apparent Successful Bidder to be announced October 20, 2026, and contract award anticipated by November 30, 2026. The City of Phoenix solicitation (RTMRFP26001, RFP format, due October 16, 2026) requires written inquiries by September 29, 2026. The City of Long Beach solicitation (HR26753, RFP format, due October 7, 2026) anticipates contractor selection and negotiation during January–March 2027, with go-live targeted for April 1, 2027. The code shows substantial volume across health plan administration, occupational medicine, and temporary staffing, but the mismatch between the code's surgical-procedure name and the actual work being bought suggests either systemic miscoding or a coding-maintenance issue within these issuing bodies.