UNSPSC 85594949: Bypass duodenum to ileum with nonautologous tissue substitute, via natural or artificial opening endoscopic

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass duodenum to ileum with nonautologous 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 0D198KB

UNSPSC 85594949 Bypass duodenum to ileum with nonautologous tissue substitute, via natural or artificial opening endoscopic is a Commodity code that shows a systematic mismatch between its nominal scope — a specific gastroenterological surgical procedure — and the actual work state and local governments are procuring under this code. Recent state and local solicitations tagged to this code do not involve bypass surgery or gastrointestinal procedures at all; instead, they cover occupational medical surveillance, independent medical evaluations for pension disability determinations, surgical benefits carve-outs through Centers of Excellence networks, pharmacy benefit management, temporary health professional staffing, specialty emergency medical services for youth in custody, and related health plan administration and clinical services. The code appears to have been misapplied to health care and benefits-management solicitations that bear no relationship to the procedure the code nominally describes.

Activity under this code spans Arizona, California, Florida, and Washington, with recent solicitations from the City of Phoenix (disability medical evaluation services for fire and police pension boards, RFP RTMRFP26001, due October 16, 2026), the City of Long Beach (surgical benefits carve-out for Anthem PPO plan, RFP HR26753, due October 7, 2026), the Washington State Department of Transportation on behalf of Washington State Ferries (occupational medical surveillance, RFP RFP20260825, due October 9, 2026), Harris County Juvenile Probation Department (specialty emergency medical services for detained youth, RFI 071626BNM, due September 25, 2026), Collier County Board of County Commissioners (pharmacy benefit management services, RFP 25-8414, due April 9, 2026), and the County of Santa Clara Health System (temporary health professional staffing across multiple clinical ancillary categories, RFSQHHSFY270052, due October 7, 2026). The code shows no recent activity that aligns with its stated procedural definition, rendering it unsuitable as a reliable indicator of actual procurement demand for bypass surgery or related gastrointestinal interventions at the state and local level.