Optum

Optum Anesthesia Fee APIs API

The Anesthesia Fee APIs API from Optum — 1 operation(s) for anesthesia fee apis.

Documentation GitHub OpenAPI

Operations 1

GET /api/optum/physician/anesthesia-fee/{codetype}/{code} Fetches anesthesia fee carrier localities and units information for a given anesthesia code #

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OpenAPI Specification

openapi: 3.2.0
info:
  title: Optum Common Physician Anesthesia Fee APIs API
  description: MicroService that contains Optum module-related information
  contact:
    name: Ken Kracker
    email: ken.kracker@optum.com
  version: v1.0
servers:
- url: /v1/optumcommonms
tags:
- name: Anesthesia Fee APIs
paths:
  /api/optum/physician/anesthesia-fee/{codetype}/{code}:
    get:
      tags:
      - Anesthesia Fee APIs
      summary: Fetches anesthesia fee carrier localities and units information for a given anesthesia code
      operationId: fetchAnesthesiaFee
      parameters:
      - name: codetype
        in: path
        required: true
        schema:
          type: string
          enum:
          - cpt
      - name: code
        in: path
        required: true
        schema:
          type: string
        example: '00100'
      - name: yyyy-MM-dd
        in: header
        description: Date for which historical data is required
        required: false
        schema:
          type: string
          format: yyyy-MM-dd
      responses:
        '200':
          description: Fetch anesthesia fee carrier localities and units information for a given anesthesia code
          content:
            application/json:
              example:
                anesCarrierLocalityList:
                - carrier: '10112'
                  locality: '00'
                  state: Alabama
                  conversionFactor: '19.77'
                - carrier: '02102'
                  locality: '01'
                  state: Alaska
                  conversionFactor: '28.54'
                anesPhysicalStatusUnitsList:
                - status: P1
                  description: A normal healthy patient
                  units: 0
                - status: P2
                  description: A patient with mild systemic disease
                  units: 0
                anesQualifyingCircumstancesUnitsList:
                - code: '99100 '
                  description: Anesthesia for patient of extreme age, younger than 1 year and older than 70 (List separately in addition to code for primary anesthesia procedure)
                  units: 1
                - code: '99116 '
                  description: Anesthesia complicated by utilization of total body hypothermia (List separately in addition to code for primary anesthesia procedure)
                  units: 5
                anesASABaseUnit: '05'
                anesCMSBaseUnit: '05'
                anesTimeUnit: '11.10'
        '400':
          description: Bad request
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Notification'
              example:
                error:
                - The code provided 'E11.01' in this web service request is not a valid 'cpt' code.
                warning: null
                info: null
      security:
      - bearerAuth: []
components:
  schemas:
    Notification:
      type: object
      properties:
        error:
          type: array
          items:
            type: string
        warning:
          type: array
          items:
            type: string
        info:
          type: array
          items:
            type: string
  securitySchemes:
    bearerAuth:
      type: http
      scheme: bearer
      bearerFormat: JWT
x-readme:
  explorer-enabled: true
  proxy-enabled: true