UNSPSC 85594952: Bypass duodenum to cutaneous 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 cutaneous 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 0D198K4

UNSPSC 85594952 Bypass duodenum to cutaneous with nonautologous tissue substitute, via natural or artificial opening endoscopic is a Commodity code that shows minimal alignment between its nominal scope—a specific surgical procedure—and the state and local healthcare opportunities currently being solicited under it. The recent solicitations tagged to this code cover occupational medical surveillance, disability medical evaluations, pharmacy benefit management, surgical procedure carve-out networks, temporary clinical staffing, and emergency youth detention services. None of these directly involve the duodenal bypass procedure named in the code. The issuing bodies span a mix of state health departments, county human resources and health systems, cities, and independent school district health programs, reflecting the diversity of state and local healthcare administration and procurement. The scope of actual work being solicited includes medical record review and disability determination support, occupational health examinations across multiple locations, Centers of Excellence network management for scheduled procedures, pharmacy claims administration and formulary management, temporary staffing pools for clinical ancillary roles, and emergency hospital services for detained youth.

The code sees recent activity across multiple states and regions, including Arizona (Phoenix), California (Long Beach and Santa Clara County), Washington State, Texas (Harris County), and Florida (Collier County). Representative solicitations include the City of Phoenix Retirement Office RFP for disability medical record summary and independent medical evaluation services due October 16, 2026, with a maximum five-year contract value of $750,000; the Washington State Department of Transportation RFP for occupational medical surveillance at 14 ferry system locations due October 9, 2026, with two-year initial term and up to five optional one-year renewals; the City of Long Beach RFP for surgical procedure carve-out benefits management due October 7, 2026, targeting Centers of Excellence networks for orthopedic, spine, cardiac, and oncology procedures; and Collier County's RFP for pharmacy benefit management services covering approximately 2,400 employees due April 9, 2026, with historical annual spending around $8.7 million. The code's tagging to these opportunities suggests classification drift rather than genuine procurement alignment with the specific surgical procedure named.