UNSPSC 85604129: Bypass jejunum to sigmoid colon with autologous 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 autologous 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 0D1A47N

UNSPSC 85604129 Bypass jejunum to sigmoid colon with autologous tissue substitute, percutaneous endoscopic approach is a Commodity code that nominally describes a specific surgical procedure, but recent state and local procurement activity under this code shows little alignment with the procedure name. The most recent opportunities posted under this code encompass occupational medical surveillance services, independent medical evaluations for public safety retirement disability determinations, surgical benefit carve-out programs for municipal employee health plans, pharmacy benefit management, temporary health professional staffing, emergency and specialty medical services for detained youth, and an RFI for hospital-based acute care. None of these procurements involve gastroenterologic bypass surgery or autologous tissue grafting. The code appears to serve as a catch-all categorization for diverse medical services and healthcare benefits administration rather than a discrete surgical procedure line. State and local buyers using this code include city retirement boards (Phoenix), municipal health plan administrators (Long Beach), state transportation departments (Washington), county public health systems (Santa Clara, Harris County), and county human resources divisions (Collier County).

Geographic activity spans Arizona (Phoenix Retirement Office RFP for independent medical evaluation services, due October 16, 2026), California (Long Beach PPO surgical benefit carve-out RFP due October 7, 2026; Santa Clara County temporary health professional staffing RFP due October 7, 2026), Washington (WSDOT Washington State Ferries occupational medical surveillance RFP due October 9, 2026 with pre-bid conference August 31, 2026), Texas (Harris County Juvenile Probation Department RFI due September 25, 2026), and Florida (Collier County Pharmacy Benefit Management RFP originally due April 9, 2026). No single jurisdiction emerges as a repeat buyer under this code in the recent posting window. The source shows no pattern of traditional surgical procedure procurement; the code's actual use by state and local bodies diverges markedly from its nominal UNSPSC definition.