Optum

Optum CC/MCC Code and Excludes List for I10CM and I9V1 APIs API

The CC/MCC Code and Excludes List for I10CM and I9V1 APIs API from Optum — 2 operation(s) for cc/mcc code and excludes list for i10cm and i9v1 apis.

GitHub OpenAPI
Business capability
Medical Coding Management BC-2870.20

Operations 2

GET /api/cms/facility/{codetype}/{code}/{conditiontype}/cc-mcc Fetches the CC MCC codes excludes table data for I10CM and I9V1 codetype #
GET /api/cms/facility/{codetype}/cc-mcc/code-list Fetches the CC MCC codes table data for I10CM and I9V1 codetype #

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-cc-mcc-code-and-excludes-list-for-i10cm-and-i9v1-apis-api-openapi.yml

Other Resources

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

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OpenAPI Specification

optum-cc-mcc-code-and-excludes-list-for-i10cm-and-i9v1-apis-api-openapi.yml Raw ↑ 
openapi: 3.2.0
info:
  title: CMS Common Facility CC/MCC Code and Excludes List for I10CM and I9V1 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: CC/MCC Code and Excludes List for I10CM and I9V1 APIs
paths:
  /api/cms/facility/{codetype}/{code}/{conditiontype}/cc-mcc:
    get:
      tags:
      - CC/MCC Code and Excludes List for I10CM and I9V1 APIs
      summary: Fetches the CC MCC codes excludes table data for I10CM and I9V1 codetype
      operationId: getCCMCCCodeExcludesList
      parameters:
      - name: codetype
        in: path
        required: true
        schema:
          type: string
          description: codetypes
          enum:
          - i9v1
          - i10_cm
      - name: code
        in: path
        required: true
        schema:
          type: string
          description: code
      - name: conditiontype
        in: path
        required: true
        schema:
          type: string
          description: conditiontype
          enum:
          - '1'
          - '2'
      - 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: Fetch code, codeDescription and details.
          content:
            application/json:
              example:
                content:
                - code: '011.00'
                  description: Tuberculosis of lung, infiltrative, confirmation unspecified
                - code: '011.01'
                  description: Tuberculosis of lung, infiltrative, bacteriological or histological examination not done
                - code: '011.02'
                  description: Tuberculosis of lung, infiltrative, bacteriological or histological examination unknown (at present)
                - code: '011.03'
                  description: Tuberculosis of lung, infiltrative, tubercle bacilli found (in sputum) by microscopy
                - code: '011.04'
                  description: Tuberculosis of lung, infiltrative, tubercle bacilli not found (in sputum) by microscopy, but found by bacterial culture
                - code: '011.05'
                  description: Tuberculosis of lung, infiltrative, tubercle bacilli not found by bacteriological examination, but tuberculosis confirmed histologically
                - code: '011.06'
                  description: Tuberculosis of lung, infiltrative, tubercle bacilli not found bacteriological or histological examination, but tuberculosis confirmed by other methods (inoculation of animals)
                totalCount: 7
        '500':
          description: Internal server error
          content:
            application/json:
              example:
                timestamp: '2024-09-10T09:19:11.084+00:00'
                status: 500
                error: Internal Server Error
                message: 'Request processing failed: java.lang.IllegalArgumentException: Page index must not be less than zero'
                path: /cmscommonms/api/cms/facility/i9v1/011.04/1/cc-mcc
      security:
      - bearerAuth: []
  /api/cms/facility/{codetype}/cc-mcc/code-list:
    get:
      tags:
      - CC/MCC Code and Excludes List for I10CM and I9V1 APIs
      summary: Fetches the CC MCC codes table data for I10CM and I9V1 codetype
      operationId: getCCMCCCodeList
      parameters:
      - name: codetype
        in: path
        required: true
        schema:
          type: string
          description: codetypes
          enum:
          - i9v1
          - i10_cm
      - name: conditiontype
        in: query
        required: false
        schema:
          type: string
          description: conditiontype
          enum:
          - '1'
          - '2'
      - 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: sort
        in: query
        description: Any of these values (code,-code) are allowed.The default is code
        required: false
        schema:
          type: array
          items:
            type: string
          default:
          - code
      - 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: Fetch code, codeDescription and details.
          content:
            application/json:
              example:
                content:
                - code: '001.0'
                  description: Cholera due to Vibrio cholerae
                  conditionType: '1'
                  excludeCodes: <b>001.0-001.9</b>
                - code: '001.1'
                  description: Cholera due to Vibrio cholerae el tor
                  conditionType: '1'
                  excludeCodes: <b>001.0-001.9</b>
                - code: '001.9'
                  description: Unspecified cholera
                  conditionType: '1'
                  excludeCodes: <b>001.0-001.9</b>
                totalCount: 3
        '400':
          description: Bad request
          content:
            application/json:
              example:
                error:
                - sort parameter value should be from list of [code]
                warning: null
                info: null
        '500':
          description: Internal server error
          content:
            application/json:
              example:
                timestamp: '2024-09-10T09:19:11.084+00:00'
                status: 500
                error: Internal Server Error
                message: 'Request processing failed: java.lang.IllegalArgumentException: Page index must not be less than zero'
                path: /cmscommonms/api/cms/facility/i9v1/cc-mcc/code-list
      security:
      - bearerAuth: []
components:
  securitySchemes:
    bearerAuth:
      type: http
      scheme: bearer
      bearerFormat: JWT
x-readme:
  explorer-enabled: true
  proxy-enabled: true