UNSPSC 85604121: Bypass jejunum to sigmoid colon with nonautologous tissue substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass jejunum to sigmoid 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 0D1A4KN

UNSPSC 85604121 Bypass jejunum to sigmoid colon with nonautologous tissue substitute, percutaneous endoscopic approach is a Commodity code that shows little relevant recent state and local procurement activity. The code describes a specific surgical procedure and does not align with the work actually being solicited by state and local governments under recent postings tagged to this code.

Recent opportunities associated with this code span medical services and benefits administration rather than the surgical procedure the code nominates. The City of Phoenix Retirement Office, on behalf of the Phoenix Fire Pension Board and Phoenix Police Pension Board, issued RFP RTMRFP26001 for independent medical evaluation services, with proposals due October 16, 2026 — covering disability medical record summary preparation and scheduling of independent medical and psychiatric examinations for approximately 75 annual disability benefit applications over a five-year term with a total maximum contract compensation of $750,000. The City of Long Beach posted RFP HR26753 for a surgical and medical procedure carve-out benefit program (due October 7, 2026) offering knee, hip, orthopedic, shoulder, spine, heart, weight loss, and oncology procedures through Centers of Excellence. The Washington State Department of Transportation, on behalf of the Washington State Ferries, solicited occupational medical surveillance services (RFP20260825, due October 9, 2026) for baseline, periodic, follow-up, and exit medical examinations across 14 Washington locations. Harris County Juvenile Probation Department issued an RFI for emergency, inpatient, outpatient, and specialty healthcare services for detained youth (due September 25, 2026), and Collier County Board of County Commissioners sought Pharmacy Benefit Management Services (RFP 25-8414, originally due April 9, 2026) covering approximately 2,400 enrolled employees and 4,800 covered members with historical pharmacy spending of approximately $8.7 million annually. The mismatch between the code's surgical procedure specificity and the range of health benefit administration, occupational medicine, and managed care services in these solicitations indicates the code is not capturing relevant procurement activity in state and local government at present.