UNSPSC 85594960: Bypass duodenum to cutaneous 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 duodenum to cutaneous 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 0D19874

UNSPSC 85594960 Bypass duodenum to cutaneous with autologous tissue substitute, via natural or artificial opening endoscopic is a Commodity code whose nominal name describes a surgical procedure, but recent state and local solicitations tagged under it do not involve surgical intervention or tissue grafting. The most recent opportunities—independent medical evaluation services, surgery benefit program administration, occupational medical surveillance, juvenile detention healthcare services coordination, pharmacy benefit management, and temporary health professional staffing—span administrative healthcare delivery, occupational medicine, behavioral health assessment, and clinical staffing, none of which align with the code's stated procedural scope. State and local procurement offices appear to have miscoded or repurposed this code as a catch-all for healthcare services and benefits administration work. The issuing bodies are diverse: city retirement offices (Phoenix), municipal health systems (Long Beach, Santa Clara County), state departments (Washington State Department of Transportation), county juvenile justice agencies (Harris County), and county human resources divisions (Collier County). No single issuing body dominates the recent activity.

The geographic spread covers the Southwest (Arizona, California), Pacific Northwest (Washington), Texas, and Florida. Recent opportunities posted from August through September 2026 include the City of Phoenix Retirement Office seeking independent medical evaluation services for disability pension determinations due October 16, 2026 (RFP RTMRFP26001, $750,000 maximum over five years); the Washington State Department of Transportation requesting occupational medical surveillance for ferry workers across 14 state locations due October 9, 2026 (RFP20260825, with a pre-bid conference scheduled August 31); the City of Long Beach soliciting surgery center-of-excellence network administration for employee benefit plans due October 7, 2026 (RFP HR26753); and the County of Santa Clara Health System establishing a multi-category temporary health professional staffing qualified-vendor pool due October 7, 2026 (RFSQ HHSFY270052). The code's recent activity shows no coherent pattern aligned to its procedural name and appears to reflect miscoding rather than active procurement in the stated surgical domain.