UNSPSC 85604108: Bypass ileum to ascending colon with nonautologous tissue substitute, percutaneous endoscopic 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, 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 0D1B4KK

UNSPSC 85604108, Bypass ileum to ascending colon with nonautologous tissue substitute, percutaneous endoscopic approach, is a Commodity code that nominally describes a specific surgical procedure, but state and local procurement activity under this code shows no direct alignment with the abstract code name. The recent opportunities posted against this code span occupational health surveillance, pharmacy benefit management, disability medical evaluation services, temporary health professional staffing, and youth detention medical care—none of which involve gastrointestinal bypass procedures or the procedural techniques the code nominally covers. The issuing bodies include state departments (Washington State Department of Transportation, Harris County Juvenile Probation Department), counties (Collier County, Santa Clara County), and cities (Phoenix, Long Beach), reflecting a mix of health system procurement and administrative medical services. This code appears to be a misclassification or legacy tagging issue; the recent opportunities do not represent purchasing aligned with the surgical procedure the code describes.

Activity spans Arizona, California, Florida, and Washington. The most recent representative opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (RTMRFP26001, due October 16, 2026), focused on disability benefit determination for public safety personnel; the Washington State Department of Transportation's RFP for occupational medical surveillance services (RFP20260825, due October 9, 2026, with a pre-bid conference on August 31, 2026), covering baseline, periodic, and exit medical examinations across 14 ferry system locations; and the County of Santa Clara Health System's solicitation for temporary health professional staffing services (RFSQHHSFY270052, due October 7, 2026), establishing a qualified vendor pool across 13 ancillary clinical categories. The code shows no current activity that tracks to the procedural description it nominally represents, suggesting either systematic misclassification in source data or that this code does not reflect actual state and local buying patterns.