UNSPSC 85604104: Bypass ileum to ascending colon, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass ileum to ascending colon, percutaneous endoscopic 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 0D1B4ZK

UNSPSC 85604104 Bypass ileum to ascending colon, percutaneous endoscopic approach (Commodity) does not reflect the work state and local governments are actually procuring. The recent opportunities tagged under this code—inmate medical and pharmacy services, pharmacy benefit management, virtual primary and urgent care, peer support for peer workers, and fire department medical direction—span broad healthcare administration and clinical staffing across correctional facilities, county employee health plans, county members, behavioral health agencies, and emergency services, none of which align with the specific surgical procedure named in the code. The mismatch indicates this code is either misapplied by the issuing bodies or has been repurposed in state and local procurement taxonomy to capture healthcare services procurement that federal UNSPSC does not clearly address at the commodity level.

Recent activity clusters around Florida (Collier County and Monroe County), Georgia (Muscogee County), California (San Mateo County), and California municipal government (Santa Monica Fire Department), driven by health plan administration, urgent care service delivery, behavioral health innovation pilots, and emergency medical services staffing. Collier County issued an RFP for Pharmacy Benefit Management Services (due April 9, 2026) covering approximately 2,400 enrolled employees and 4,800 covered members with historical annual spending near $8.7 million. Monroe County issued an RFP for Virtual Primary & Urgent Care Services (due April 16, 2026) for approximately 2,300 county members through a flat per-employee-per-month pricing model effective October 1, 2026. Columbus Consolidated Government's Finance Department Purchasing Division issued RFP No. 26-0008 for comprehensive inmate medical and pharmacy services at Muscogee County Prison (due May 15, 2026), with the current monthly cost at $95,537.71. San Mateo County Health BHRS issued an RFP for a Mental Health Services Act Innovation peer support pilot (due July 2, 2025) with $580,000 total funding. The code shows no concentrated buyer base and limited decision-relevance for firms pursuing state and local healthcare procurement under this taxonomy heading.