UNSPSC 85603914: Bypass ileum to descending colon via natural or artificial opening 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 ileum to descending colon via natural or artificial opening 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 0D1B87M

UNSPSC 85603914 Bypass ileum to descending colon via natural or artificial opening autologous tissue substitute, via natural or artificial opening endoscopic is a Commodity code that appears to describe a specific surgical procedure classification, yet the recent state and local opportunities posted under this code do not align with the surgical procedure scope implied by the code name. Instead, the opportunities reflect general health professional staffing, occupational medical surveillance, pharmacy benefit management, disability medical evaluation services, and specialty medical carve-out programs — none of which involve the gastrointestinal bypass procedure the code nominally describes. The issuing bodies span diverse public sector entities: the City of Phoenix Retirement Office (public pension administration), the City of Long Beach (municipal employee benefits), Washington State Department of Transportation (state agency via ferries division), Harris County Juvenile Probation Department (county detention health services), Collier County Board of County Commissioners (county benefits), and the County of Santa Clara Health System (county health system). The geographic spread includes Arizona, California (Long Beach and Santa Clara), Washington State, Texas (Harris County), and Florida (Collier County).

The most recent opportunities reflect discrete service categories with little mutual overlap. The Washington State Department of Transportation issued an RFQ (RFP20260825) for occupational medical surveillance services across 14 ferries locations due October 9, 2026 with a two-year initial term and optional five-year extensions. The City of Phoenix Retirement Office solicited an RFP (RTMRFP26001) for independent medical evaluation services for public safety pension disability determinations, with a maximum contract value of $750,000 over five years and proposals due October 16, 2026. The City of Long Beach issued an RFP (HR26753) for a surgical and medical procedure carve-out benefit program for employees and retirees on an Anthem PPO plan, due October 7, 2026. The County of Santa Clara Health System released an RFQ (RFSQHHSFY270052) establishing a qualified vendor pool for temporary health professional staffing across 13 ancillary clinical categories (audiology, cardiology, diagnostic imaging, gastroenterology, orthopedic, and others), with proposals due October 7, 2026 and no guaranteed work volume. The code shows no recent activity consistent with its surgical procedure classification and appears to represent a cataloging mismatch between the UNSPSC taxonomy and actual state and local procurement practice.