UNSPSC 85604009: Bypass ileum to sigmoid colon with synthetic substitute, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass ileum to sigmoid colon with synthetic 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 0D1B0JN

UNSPSC 85604009 Bypass ileum to sigmoid colon with synthetic substitute, open approach is a Commodity-level code that shows a fundamental mismatch between its nominal scope—a specific surgical procedure code—and actual state and local procurement activity. The recent opportunities tagged under this code do not involve the procedure named; instead, they reflect medical services, staffing, and benefits administration activity that state and local health systems, pension boards, transit authorities, and counties are soliciting. The code appears to have been applied incorrectly to solicitations that address occupational medical surveillance, disability medical evaluations, specialty surgical networks, temporary health professional staffing, pharmacy benefit management, and emergency medical services for detained youth. None of these services map to the bypass ileum to sigmoid colon surgical procedure the code nominally describes.

The issuing bodies include county health systems (Santa Clara), state transportation departments (Washington State Department of Transportation), city retirement offices (City of Phoenix), municipal employee benefits programs (City of Long Beach), county procurement offices (Collier County, Harris County), and county health departments. Recent opportunities include the Washington State Ferries occupational medical surveillance RFP (due October 9, 2026), the City of Phoenix disability medical evaluation services RFP (due October 16, 2026), the City of Long Beach specialty surgical procedure carve-out RFP (due October 7, 2026), Collier County's pharmacy benefit management RFP (due April 9, 2026), the County of Santa Clara temporary health professional staffing solicitation (due October 7, 2026), and Harris County Juvenile Probation Department's emergency and specialty medical services RFI (due September 25, 2026). The geographic spread spans Arizona, California, Florida, Washington, and Texas. Given the disconnect between code and content, this code does not represent a coherent procurement category for state and local targeting.