Optum

Optum Color Codes API

The Color Codes API from Optum — 5 operation(s) for color codes.

Documentation GitHub OpenAPI

Business capability

Medical Coding Management BC-2870.20

Operations 5

GET /codetype/cpt/{code}/color-codes Show Color Codes for the given CPT code #

GET /codetype/hcpcs/{code}/color-codes Show Color Codes for the given HCPCS code #

GET /codetype/icd10cm/{code}/color-codes Show Color Codes for the given ICD10CM code #

GET /codetype/icd10pcs/{code}/color-codes Show Color Codes for the given ICD10PCS code #

GET /codetype/icd9v1/{code}/color-codes Show Color Codes for the given ICD9V1 code #

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OpenAPI Specification

openapi: 3.2.0
info:
  title: Optum Real-Time eContent Web services Color Codes API
  description: Optum® Real-Time eContent web services provides access to both ondemand medical coding data and Optum coding tool logic required by your applications. The information you or your clients need is delivered to your application in real time, when you need it, and customized to how you want it displayed. Optum Real-Time eContent service provides access to the content of 37 printed coding resources and proprietary data and offers the power of the Optum CodeLogic™ search engine.
  contact:
    name: Ken Kracker
    email: ken.kracker@optum.com
  version: 1.0.0
servers:
- url: sandbox-apigw.optum.com/ci/rtec/v1/ws
security:
- bearerAuth: []
tags:
- name: Color Codes
paths:
  /codetype/cpt/{code}/color-codes:
    get:
      tags:
      - Color Codes
      summary: Show Color Codes for the given CPT code
      operationId: getColorCodes
      parameters:
      - name: code
        in: path
        description: The code value
        required: true
        schema:
          type: string
        example: 13100
      - name: data
        in: query
        description: <b>desc</b>
        schema:
          type: string
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ColorCodes'
              example:
                modifier51Exempt: []
                ascPaymentIndicator: ' A2'
                ascPaymentIndicatorDescription: ' Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight.'
                medicalUnlikelyEdits: '1'
                opsiCode: ' T'
                mulitplePxReductionGuidelinesApply: ''
        '400':
          description: Wrong CodeType
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ColorCodes'
              example:
                error:
                - The code provided ('250.02') in this web service request is not a valid 'cpt' code.
                warning: []
                info: []
        '401':
          description: Not Authorized
          content:
            application/json:
              example:
                timestamp: '2022-07-06T16:34:39.385Z'
                error: Unauthorized
                status: 401
        '404':
          description: Code does not exist
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ColorCodes'
              example:
                error:
                - Code 13104 does not exist
                warning: []
                info: []
        '405':
          description: Method Not Allowed - Request method not supported
          content:
            application/json:
              example:
                timestamp: '2022-07-07T15:28:34.152Z'
                status: 405
                error: Method Not Allowed
        '503':
          description: Service Unavailable
  /codetype/hcpcs/{code}/color-codes:
    get:
      tags:
      - Color Codes
      summary: Show Color Codes for the given HCPCS code
      operationId: getColorCodes_1
      parameters:
      - name: code
        in: path
        description: The code value
        required: true
        schema:
          type: string
        example: A0080
      - name: data
        in: query
        description: <b>desc</b>
        schema:
          type: string
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ColorCodes'
              example:
                modifier51Exempt: []
                ascPaymentIndicator: ' IC'
                ascPaymentIndicatorDescription: ' Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight.'
                medicalUnlikelyEdits: '0'
                opsiCode: ' E1'
                notCoveredOrValidForMedicare: 01/01/2007
        '400':
          description: Wrong CodeType
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ColorCodes'
              example:
                error:
                - The code provided ('250.02') in this web service request is not a valid 'hcpcs' code.
                warning: []
                info: []
        '401':
          description: Not Authorized
          content:
            application/json:
              example:
                timestamp: '2022-07-06T16:34:39.385Z'
                error: Unauthorized
                status: 401
        '404':
          description: Code does not exist
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ColorCodes'
              example:
                error:
                - Code A0000 does not exist
                warning: []
                info: []
        '405':
          description: Method Not Allowed - Request method not supported
          content:
            application/json:
              example:
                timestamp: '2022-07-07T15:28:34.152Z'
                status: 405
                error: Method Not Allowed
        '503':
          description: Service Unavailable
  /codetype/icd10cm/{code}/color-codes:
    get:
      tags:
      - Color Codes
      summary: Show Color Codes for the given ICD10CM code
      operationId: getColorCodes_2
      parameters:
      - name: code
        in: path
        description: The code value
        required: true
        schema:
          type: string
        example: S82.91XB
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Icd10CmColorCodes'
              example:
                unspecifiedDiagnosisCode: OP
                comorbidityOrComplication: IP
                hospitalAcquiredCondition:
                - 'HAC 05: Falls and trauma (secondary diagnosis)'
                conditionalHospitalAcquiredCondition: []
        '400':
          description: Wrong CodeType
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Icd10CmColorCodes'
              example:
                error:
                - The code provided ('13100') in this web service request is not a valid 'icd10cm' code.
                warning: []
                info: []
        '401':
          description: Not Authorized
          content:
            application/json:
              example:
                timestamp: '2022-07-06T16:34:39.385Z'
                error: Unauthorized
                status: 401
        '404':
          description: Code does not exist
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Icd10CmColorCodes'
              example:
                error:
                - ICD-10-CM code 'F90.7' not found
                warning: []
                info: []
        '405':
          description: Method Not Allowed - Request method not supported
          content:
            application/json:
              example:
                timestamp: '2022-07-07T15:28:34.152Z'
                status: 405
                error: Method Not Allowed
        '503':
          description: Service Unavailable
  /codetype/icd10pcs/{code}/color-codes:
    get:
      tags:
      - Color Codes
      summary: Show Color Codes for the given ICD10PCS code
      operationId: getColorCodes_3
      parameters:
      - name: code
        in: path
        description: The code value
        required: true
        schema:
          type: string
        example: 04LE0CV
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Icd10pcsColorCodes'
              example: '{

                "mappingToIcd9Code": "OP",

                "procedureInconsistentLOS": "IP",

                }

                '
        '400':
          description: Wrong CodeType
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Icd10pcsColorCodes'
              example:
                error:
                - The code provided ('13100') in this web service request is not a valid 'icd10pcs' code.
                warning: []
                info: []
        '401':
          description: Not Authorized
          content:
            application/json:
              example:
                timestamp: '2022-07-06T16:34:39.385Z'
                error: Unauthorized
                status: 401
        '404':
          description: Code does not exist
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Icd10pcsColorCodes'
              example:
                error:
                - ICD-10-PCS code 'F90.7' not found
                warning: []
                info: []
        '405':
          description: Method Not Allowed - Request method not supported
          content:
            application/json:
              example:
                timestamp: '2022-07-07T15:28:34.152Z'
                status: 405
                error: Method Not Allowed
        '503':
          description: Service Unavailable
  /codetype/icd9v1/{code}/color-codes:
    get:
      tags:
      - Color Codes
      summary: Show Color Codes for the given ICD9V1 code
      operationId: getColorCodes_4
      parameters:
      - name: code
        in: path
        description: The code value
        required: true
        schema:
          type: string
        example: 253.1
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ColorCodes'
              example:
                modifier51Exempt: []
                unspecifiedDiagnosisCode: OP
                otherSpecifiedDiagnosisCode: OP
                comorbidityOrComplication: IP
        '400':
          description: Wrong CodeType
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ColorCodes'
              example:
                error:
                - The code provided ('13100') in this web service request is not a valid 'icd9v1' code.
                warning: []
                info: []
        '401':
          description: Not Authorized
          content:
            application/json:
              example:
                timestamp: '2022-07-06T16:34:39.385Z'
                error: Unauthorized
                status: 401
        '404':
          description: Code does not exist
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ColorCodes'
              example:
                error:
                - CPT code '000.1' not found
                warning: []
                info: []
        '405':
          description: Method Not Allowed - Request method not supported
          content:
            application/json:
              example:
                timestamp: '2022-07-07T15:28:34.152Z'
                status: 405
                error: Method Not Allowed
        '503':
          description: Service Unavailable
components:
  schemas:
    Icd10pcsColorCodes:
      type: object
      properties:
        newCode:
          type: string
          xml:
            name: new-code
        revisedCode:
          type: string
          xml:
            name: revised-code
        maleDiagnosis:
          type: string
          xml:
            name: male-diagnosis
        femaleDiagnosis:
          type: string
          xml:
            name: female-diagnosis
        mappingToIcd9Code:
          type: string
          xml:
            name: mapping-to-icd9-code
        procedureInconsistentLOS:
          type: string
          xml:
            name: procedure-inconsistent-los
        nonCoveredByMedicare:
          type: string
          xml:
            name: noncovered-medicare
        nonORProcedure:
          type: string
          xml:
            name: non-OR-procedure
        limitedCoverageProcedure:
          type: string
      xml:
        name: icd-10-pcs-color-codes
    ColorCodes:
      required:
      - modifier51Exempt
      type: object
      properties:
        newCode:
          type: string
          xml:
            name: new-code
        revisedCode:
          type: string
          xml:
            name: revised-code
        reinstatedCode:
          type: string
          xml:
            name: reinstated-code
        resequencedCode:
          type: string
          xml:
            name: resequenced-code
        optumAddonCode:
          type: string
          xml:
            name: optum-addon-code
        modifier51Exempt:
          type: array
          xml:
            name: modifier-51-exempt
          items:
            type: string
            xml:
              name: modifier-51-exempt
        maleProcedure:
          type: string
          xml:
            name: male-procedure
        femaleProcedure:
          type: string
          xml:
            name: female-procedure
        unlistedCode:
          type: string
          xml:
            name: unlisted-code
        ascPaymentIndicator:
          type: string
          xml:
            name: asc-payment-indicator
        ascPaymentIndicatorDescription:
          type: string
          xml:
            name: asc-payment-indicator-description
        moderateSedation:
          type: string
          xml:
            name: moderate-sedation
        medicalUnlikelyEdits:
          type: string
          xml:
            name: medical-unlikely-edits
        ageRestrictions:
          type: string
          xml:
            name: age-restrictions
        maternity:
          type: string
        modifier63Exempt:
          type: string
          xml:
            name: modifier-63-exempt
        addOn:
          type: string
          xml:
            name: add-on
        serviceNotCoveredByMedicare:
          type: string
          xml:
            name: service-not-covered-by-medicare
        opsiCode:
          type: string
          xml:
            name: opsi-code
        coSurgeryAllowed:
          type: string
          xml:
            name: co-surgery-allowed
        assistAtSurgeryAllowedWithDocumentation:
          type: string
          xml:
            name: assist-at-surgery-allowed-with-documentation
        assistAtSurgeryAllowed:
          type: string
          xml:
            name: assist-at-surgery-allowed
        cliaWavedTest:
          type: string
          xml:
            name: clia-waved-test
        carrierPriced:
          type: string
          xml:
            name: carrier-priced
        teamSurgeryAllowed:
          type: string
          xml:
            name: team-surgery-allowed
        mulitplePxReductionGuidelinesApply:
          type: string
          xml:
            name: mulitple-px-reduction-guidelines-apply
        endoscopicMultiplePxGuidelinesApply:
          type: string
          xml:
            name: endoscopic-multiple-px-guidelines-apply
        bilateralSurgeryAllowed:
          type: string
          xml:
            name: bilateral-surgery-allowed
        stvxPackaged:
          type: string
          xml:
            name: stvx-packaged
        bloodAndBloodProducts:
          type: string
          xml:
            name: blood-and-blood-products
        brachytherapySources:
          type: string
          xml:
            name: brachytherapy-sources
        mayBePaidThroughCompositeApc:
          type: string
          xml:
            name: may-be-paid-through-composite-apc
        contractorDiscretion:
          type: string
          xml:
            name: contractor-discretion
        notCoveredOrValidForMedicare:
          type: string
          xml:
            name: not-covered-or-valid-for-medicare
        quantityAlert:
          type: string
          xml:
            name: quantity-alert
        specialCoverageInstructions:
          type: string
          xml:
            name: special-coverage-instructions
        digitRequired4Th:
          type: string
          xml:
            name: digit-required-4th
        digitRequired5Th:
          type: string
          xml:
            name: digit-required-5th
        maleDiagnosis:
          type: string
          xml:
            name: male-diagnosis
        femaleDiagnosis:
          type: string
          xml:
            name: female-diagnosis
        unspecifiedDiagnosisCode:
          type: string
          xml:
            name: unspecified-diagnosis-code
        otherSpecifiedDiagnosisCode:
          type: string
          xml:
            name: other-specified-diagnosis-code
        adultDiagnosis:
          type: string
          xml:
            name: adult-diagnosis
        maternityDiagnosis:
          type: string
          xml:
            name: maternity-diagnosis
        newbornDiagnosis:
          type: string
          xml:
            name: newborn-diagnosis
        pediatricDiagnosis:
          type: string
          xml:
            name: pediatric-diagnosis
        hivRelated:
          type: string
          xml:
            name: hiv-related
        duplicatePrimaryDx:
          type: string
          xml:
            name: duplicate-primary-dx
        unacceptablePrincipalDx:
          type: string
          xml:
            name: unacceptable-principal-dx
        manifestationCodeNotAPrimaryDx:
          type: string
          xml:
            name: manifestation-code-not-a-primary-dx
        comorbidityOrComplication:
          type: string
          xml:
            name: comorbidity-or-complication
        majorComplication:
          type: string
          xml:
            name: major-complication
        reviseNoteNotBook:
          type: string
          xml:
            name: revisedcode-note-not-ama-book
        newCptNotAmaBook:
          type: string
          xml:
            name: newcptcode-not-ama-book
        modifier95:
          type: string
          xml:
            name: modifier-95
        tpackaged:
          type: string
        vcodeAsPrimaryDx:
          type: string
      xml:
        name: color-codes
    Icd10CmColorCodes:
      type: object
      properties:
        newCode:
          type: string
          xml:
            name: new-code
        revisedCode:
          type: string
          xml:
            name: revised-code
        characterRequired4Th:
          type: string
          xml:
            name: character-required-4th
        characterRequired5Th:
          type: string
          xml:
            name: character-required-5th
        characterRequired6Th:
          type: string
          xml:
            name: character-required-6th
        characterRequired7Th:
          type: string
          xml:
            name: character-required-7th
        characterRequiredX7Th:
          type: string
          xml:
            name: character-required-x7th
        maleDiagnosis:
          type: string
          xml:
            name: male-diagnosis
        femaleDiagnosis:
          type: string
          xml:
            name: female-diagnosis
        unspecifiedDiagnosisCode:
          type: string
          xml:
            name: unspecified-diagnosis-code
        otherSpecifiedDiagnosisCode:
          type: string
          xml:
            name: other-specified-diagnosis-code
        adultDiagnosis:
          type: string
          xml:
            name: adult-diagnosis
        maternityDiagnosis:
          type: string
          xml:
            name: maternity-diagnosis
        newbornDiagnosis:
          type: string
          xml:
            name: newborn-diagnosis
        pediatricDiagnosis:
          type: string
          xml:
            name: pediatric-diagnosis
        hivRelated:
          type: string
          xml:
            name: hiv-related
        unacceptablePrincipalDx:
          type: string
          xml:
            name: unacceptable-principal-dx
        manifestationCodeNotAPrimaryDx:
          type: string
          xml:
            name: manifestation-code-not-a-primary-dx
        comorbidityOrComplication:
          type: string
          xml:
            name: comorbidity-or-complication
        majorComplication:
          type: string
          xml:
            name: major-complication
        questionablePdx:
          type: string
          xml:
            name: questionable-pdx
        hospitalAcquiredCondition:
          type: array
          xml:
            name: hospital-acquired-condition
          items:
            type: string
            xml:
              name: hospital-acquired-condition
        conditionalHospitalAcquiredCondition:
          type: array
          xml:
            name: conditional-hospital-acquired-condition
          items:
            type: string
            xml:
              name: conditional-hospital-acquired-condition
        zcodeIndicator:
          type: string
      xml:
        name: icd-10-cm-color-codes
  securitySchemes:
    bearerAuth:
      type: http
      scheme: bearer
    ws_auth:
      type: oauth2
      flows:
        authorizationCode:
          authorizationUrl: https://idx.linkhealth.com/auth
          tokenUrl: https://idx.linkhealth.com/auth/token
          scopes:
            scope-1: required scope for API access
x-readme:
  explorer-enabled: true
  proxy-enabled: true