Optum

Optum APC Cross Codes APIs API

The APC Cross Codes APIs API from Optum — 3 operation(s) for apc cross codes apis.

GitHub OpenAPI

Operations 3

GET /api/cms/facility/{apctype} Facility - fetches APC cross codes #
GET /api/cms/facility/{apctype}/{code} Facility - Fetches CPT/HCPCS Code Specific APC Cross Codes #
GET /api/cms/facility/{apcCode}/apc-cross-codes Facility - Fetches APC Cross Codes of given Apc Code #

Documentation

📖
APIReference
https://developer.optum.com/eligibilityandclaims/reference/api-overview
📖
GettingStarted
https://developer.optum.com/eligibilityandclaims/docs/get-started-with-optum-api
📖
Authentication
https://developer.optum.com/eligibilityandclaims/docs/optum-security-and-authorization
📖
APIReference
https://developer.optum.com/optumreal-dental/reference/overview-real-dental
📖
GettingStarted
https://developer.optum.com/optumreal-dental/reference/get-started
📖
APIReference
https://developer.optum.com/pharmacysolutions/reference
📖
APIReference
https://developer.optum.com/paymentandreimbursement/reference
📖
APIReference
https://developer.optum.com/platformandinteroperability/reference
📖
APIReference
https://developer.optum.com/analyticsandinsights/reference
📖
APIReference
https://developer.optum.com/apitools/reference/security-and-authorization-v2-overview
📖
Documentation
https://developer.optum.com/apitools/docs/getting-started

Specifications

⚙
OpenAPI
https://raw.githubusercontent.com/api-evangelist/optum/refs/heads/main/openapi/optum-apc-cross-codes-apis-api-openapi.yml

Other Resources

🔗
ChangeLog
https://developer.optum.com/eligibilityandclaims/docs/eligibility-release-notes

Work with this as data

Every API here is available over the APIs.io API and to AI agents over MCP.

MCP server

One button, every client — Claude, Cursor, VS Code and the rest.

https://apis.io/mcp

Tools for apis

7 MCP tools reach this
  • find_apisBrowse and filter every API in the catalog.
  • get_api_artifactsOne API's artifacts, grouped by type.
  • get_openapiThe primary OpenAPI for this API.
  • find_similar_apisAPIs that look like this one.
  • apis_io_searchSTART HERE — APIs, providers and tags for one query, each with its total.
  • resolveTurn a domain, URL or GitHub org into the provider it belongs to.
  • find_cohortsEvery scored population of providers in the catalog.
All 92 tools →

Call it yourself

curl for this page
This API 
curl "https://apis.io/api/v1/apis/optum-apc-cross-codes-apis-api"
All apis 
curl "https://apis.io/api/v1/apis?limit=25"

Discovery needs no key. Ratings and market analysis are Pro.

Get an API key

Free tier, no email required.

GitHub Google LinkedIn

A second provider on the same verified email joins the account you already have.

OpenAPI Specification

optum-apc-cross-codes-apis-api-openapi.yml Raw ↑ 
openapi: 3.2.0
info:
  title: CMS Common Facility APC Cross Codes APIs API
  description: MicroService that contains CMS related information
  contact:
    name: Ken Kracker
    email: ken.kracker@optum.com
  version: v1.0
servers:
- url: /v1/cmscommonms
tags:
- name: APC Cross Codes APIs
paths:
  /api/cms/facility/{apctype}:
    get:
      tags:
      - APC Cross Codes APIs
      summary: Facility - fetches APC cross codes
      operationId: fetchAPCCrossCodes
      parameters:
      - name: apctype
        in: path
        required: true
        schema:
          type: string
          enum:
          - apc
          - composite-apc
          - comprehensive-apc
      - name: sort
        in: query
        description: Any of these values (apc,-apc) are allowed.The default is apc
        required: false
        schema:
          type: array
          items:
            type: string
          default:
          - apc
      - name: page
        in: query
        required: false
        schema:
          type: integer
          format: int32
          default: 1
      - name: limit
        in: query
        required: false
        schema:
          type: integer
          format: int32
          default: 50
      - name: filter
        in: query
        required: false
        schema:
          type: string
      - 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: Fetches APC Cross Codes
          content:
            application/json:
              example:
                content:
                - apc: '0701'
                  description: Sr89 strontium
                - apc: '0702'
                  description: Inj, human-lans, per i.u
                - apc: '0703'
                  description: Inj daxibotulinumtoxina-lanm
                totalCount: 915
        '500':
          description: Interal server error
          content:
            application/json:
              example:
                timestamp: '2023-10-27T08:10:07.573+00:00'
                status: 500
                error: Internal Server Error
                message: 'Request processing failed: java.lang.IllegalArgumentException: Page size must not be less than zero'
                path: /cmscommonms/api/cms/facility/apc
      security:
      - bearerAuth: []
  /api/cms/facility/{apctype}/{code}:
    get:
      tags:
      - APC Cross Codes APIs
      summary: Facility - Fetches CPT/HCPCS Code Specific APC Cross Codes
      operationId: fetchCodeSpecificAPCCrossCodes
      parameters:
      - name: apctype
        in: path
        required: true
        schema:
          type: string
          enum:
          - apc
          - composite-apc
          - comprehensive-apc
      - name: code
        in: path
        required: true
        schema:
          type: string
        example: 71045
      - name: page
        in: query
        required: false
        schema:
          type: integer
          format: int32
          default: 1
      - name: limit
        in: query
        required: false
        schema:
          type: integer
          format: int32
          default: 50
      - 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: Fetches CPT/HCPCS Code Specific APC Cross Codes
          content:
            application/json:
              example:
                content:
                - apc: '5521'
                  description: Level 1 Imaging without Contrast
                totalCount: 1
        '500':
          description: Interal server error
          content:
            application/json:
              example:
                timestamp: '2024-05-16T08:10:07.573+00:00'
                status: 500
                error: Internal Server Error
                message: 'Request processing failed: java.lang.IllegalArgumentException: Page size must not be less than zero'
                path: /cmscommonms/api/cms/facility/apc
      security:
      - bearerAuth: []
  /api/cms/facility/{apcCode}/apc-cross-codes:
    get:
      tags:
      - APC Cross Codes APIs
      summary: Facility - Fetches APC Cross Codes of given Apc Code
      operationId: fetchAPCCrossCodeDetail
      parameters:
      - name: apcCode
        in: path
        required: true
        schema:
          type: string
        example: 5191
      - name: page
        in: query
        required: false
        schema:
          type: integer
          format: int32
          default: 1
      - name: limit
        in: query
        required: false
        schema:
          type: integer
          format: int32
          default: 50
      - name: filter
        in: query
        required: false
        schema:
          type: string
      - 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: Fetches APC Cross Codes of given Apc Code
          content:
            application/json:
              example: "    {\n        \"content\": [\n           {\n             \"code\": \"93451\",\n             \"opsiCode\": \"J1\",\n             \"apc\": \"5191\",\n             \"description\": \"RIGHT HEART CATH\",\n             \"payRate\": \"3104.73\",\n             \"natUnadjCopay\": \"863.75\",\n             \"minUnadjCopay\": \"620.95\",\n             \"relWeight\": \"35.5305\"\n           },\n           {\n             \"code\": \"93452\",\n             \"opsiCode\": \"J1\",\n             \"apc\": \"5191\",\n             \"description\": \"LEFT HRT CATH W/VENTRCLGRPHY\",\n             \"payRate\": \"3104.73\",\n             \"natUnadjCopay\": \"863.75\",\n             \"minUnadjCopay\": \"620.95\",\n             \"relWeight\": \"35.5305\"\n           },\n           {\n             \"code\": \"93453\",\n             \"opsiCode\": \"J1\",\n             \"apc\": \"5191\",\n             \"description\": \"R&L HRT CATH W/VENTRICLGRPHY\",\n             \"payRate\": \"3104.73\",\n             \"natUnadjCopay\": \"863.75\",\n             \"minUnadjCopay\": \"620.95\",\n             \"relWeight\": \"35.5305\"\n           },\n         ],\n        \"totalCount\": 915\n      }\n"
        '500':
          description: Interal server error
          content:
            application/json:
              example:
                timestamp: '2023-10-27T08:10:07.573+00:00'
                status: 500
                error: Internal Server Error
                message: 'Request processing failed: java.lang.IllegalArgumentException: Page size must not be less than zero'
                path: /cmscommonms/api/cms/facility/apcCrossCodes/code
      security:
      - bearerAuth: []
components:
  securitySchemes:
    bearerAuth:
      type: http
      scheme: bearer
      bearerFormat: JWT
x-readme:
  explorer-enabled: true
  proxy-enabled: true