UNSPSC 85604008: Bypass ileum to ascending 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 ascending 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 0D1B0KK

UNSPSC 85604008 Bypass ileum to ascending colon with nonautologous tissue substitute, open approach is a Commodity code that nominally describes a specific surgical procedure; however, recent state and local procurement activity under this code does not reflect surgical procedures at all. Instead, the code has been applied to a diverse set of health services solicitations—independent medical evaluations, occupational medical surveillance, surgical benefit carve-out programs, pharmacy benefit management, temporary health professional staffing, and youth detention medical services—suggesting significant misalignment between the code's procedural name and its actual use in state and local procurement systems. State and local issuing bodies applying this code include city retirement offices (City of Phoenix), municipal healthcare purchasers (City of Long Beach), state transportation agencies (Washington State Department of Transportation), county boards (Harris County Juvenile Probation Department, Collier County Board of County Commissioners), county health systems (County of Santa Clara), and health consortia. The range of services—from administrative medical record review to specialty procedure networks to occupational health surveillance—indicates the code functions as a catch-all health services category rather than a specific surgical procedure classifier.

Recent opportunities span Arizona, California, Washington, Florida, and Texas with no clear geographic concentration. Representative recent solicitations include the City of Phoenix Retirement Office's RFP (RTMRFP26001) for independent medical evaluation services with a $750,000 maximum contract value over five years and an October 16, 2026 response deadline; the Washington State Department of Transportation's RFP (RFP20260825) for occupational medical surveillance services across 14 WSF locations with proposals due October 9, 2026; the City of Long Beach's RFP (HR26753) for surgical and medical procedure carve-out benefits with a proposed April 1, 2027 go-live and an October 7, 2026 response deadline; Collier County's RFP (258414) for pharmacy benefit management services with historical annual spending around $8.7 million and an April 9, 2026 deadline; the County of Santa Clara's RFSQ (RFSQHHSFY270052) for temporary health professional staffing across 13 clinical categories with an October 7, 2026 deadline; and Harris County Juvenile Probation Department's RFI (071626BNM) for emergency and specialty medical services for detained youth with a September 25, 2026 response date. The code shows active but fragmented recent use, with no clear procurement volume or repeat-buyer pattern.