UNSPSC 85604005: Bypass ileum to sigmoid colon with nonautologous tissue substitute, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass ileum to sigmoid colon with nonautologous tissue substitute, open approach. 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 0D1B0KN

UNSPSC 85604005 Bypass ileum to sigmoid colon with nonautologous tissue substitute, open approach is a Commodity code that nominally describes a surgical procedure, yet recent state and local procurement activity shows no alignment with this medical procedure description. The recent opportunities posted under this code span occupational medical surveillance, independent medical evaluation services for pension disability determinations, surgical benefit carve-out programs, emergency and specialty medical services for youth in custody, pharmacy benefit management, and temporary health professional staffing — none of which involve the specific surgical intervention the code names. This represents a classification mismatch between the UNSPSC taxonomy and the work state and local governments are actually buying.

The issuing bodies span diverse jurisdictions: the City of Phoenix Retirement Office (Arizona), the City of Long Beach (California), the Washington State Department of Transportation, Harris County Juvenile Probation Department (Texas), Collier County Board of County Commissioners (Florida), and the County of Santa Clara Health System (California). Recent opportunities include an RFP from the City of Phoenix Retirement Office for independent medical evaluation services with a $750,000 maximum over five years (due October 16, 2026), an RFP from the City of Long Beach for surgical and medical procedure carve-out benefits (due October 7, 2026), and an RFP from Washington State Department of Transportation for occupational medical surveillance services across 14 ferry system locations (due October 9, 2026). Geographic activity concentrates in California, Arizona, Texas, and Washington, with no clear pattern tying the disparate opportunities to the stated UNSPSC code scope. The code shows little relevant recent activity for the procedure it nominally describes.