Optum

Optum Cross Coder API

The Cross Coder API API from Optum — 3 operation(s) for cross coder api.

GitHub OpenAPI
Business capability
Medical Coding Management BC-2870.20

Operations 3

POST /api/optum/common/cross-coder/list/hcpcs/{code}/i10_cm Fetches cross coder table data #
POST /api/optum/common/cross-coder/list/cpt/{code}/i10_cm Fetches Cross Coder table data #
GET /api/optum/common/cross-coder/list/{codetype}/{code}/{tab} Fetches cross coder table data #

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-cross-coder-api-api-openapi.yml

Other Resources

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

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OpenAPI Specification

optum-cross-coder-api-api-openapi.yml Raw ↑ 
openapi: 3.2.0
info:
  title: Optum Cross Coder API
  version: v1.0
  contact:
    name: Ken Kracker
    email: ken.kracker@optum.com
  description: 'Operations tagged Cross Coder API across 2 of this provider''s published API definitions: optum-optum-common-facility-openapi.yml, optum-optum-common-physician-openapi.yml. Each path carries the servers of the definition it was published in.'
servers:
- url: /v1/optumcommonms
tags:
- name: Cross Coder API
paths:
  /api/optum/common/cross-coder/list/hcpcs/{code}/i10_cm:
    post:
      tags:
      - Cross Coder API
      summary: Fetches cross coder table data
      operationId: getCrossCoderDataListI10CM
      parameters:
      - name: code
        in: path
        required: true
        schema:
          type: string
        example: K0001
      - 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 (code,-code, description, -description) are allowed values.
        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
      requestBody:
        content:
          application/json:
            schema:
              $ref: '#/components/schemas/CrossCodesRequest'
        required: true
      responses:
        '200':
          description: Fetch columns for cross coder I10cm tab
          content:
            application/json:
              example:
                content:
                - code: G43.001
                  rangeCodeType: 0
                  codeType: 0
                  description: Migraine without aura, not intractable, with status migrainosus
                  baseUnitValue: 0
                  source: Subject-Matter Expert Assigned
                  associatedCodeLinkList: []
                - code: G43.009
                  rangeCodeType: 0
                  codeType: 0
                  description: Migraine without aura, not intractable, without status migrainosus
                  baseUnitValue: 0
                  associatedCodeLinkList:
                  - value: A56273
                    href: https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56273&ver=26&bc=0
                totalCount: 2
                ncw: false
        '400':
          description: Bad Request
          content:
            application/json:
              example:
                error:
                - sort parameter value should be from list of [code, description]
                warning: null
                info: null
        '500':
          description: Internal server error
          content:
            application/json:
              example:
                timestamp: '2023-07-27T08:10:07.573+00:00'
                status: 500
                error: Internal Server Error
                message: 'Request processing failed: java.lang.UnsupportedOperationException: Unsupported codetype in Method getFindListQuery.'
                path: /optumcommonms/api/optum/facility/cross-coder/list
      security:
      - bearerAuth: []
    servers:
    - url: /v1/optumcommonms
  /api/optum/common/cross-coder/list/cpt/{code}/i10_cm:
    post:
      tags:
      - Cross Coder API
      summary: Fetches Cross Coder table data
      operationId: getCrossCoderDataListI10CMFromCPT
      parameters:
      - name: code
        in: path
        required: true
        schema:
          type: string
        example: 17000
      - 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 (code,-code, description, -description, primaryVol, -primaryVol, secondaryVol, -secondaryVol, tertiaryVol, -tertiaryVol, associatedCodeLinkList, -associatedCodeLinkList, isSme, -isSme) are allowed values.
        required: false
        schema:
          type: array
          items:
            type: string
      - 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
      requestBody:
        content:
          application/json:
            schema:
              $ref: '#/components/schemas/CrossCodesRequest'
        required: true
      responses:
        '200':
          description: Fetch Columns for Cross Coder I10cm tab
          content:
            application/json:
              example:
                content:
                - code: G43.001
                  rangeCodeType: 0
                  codeType: 0
                  description: Migraine without aura, not intractable, with status migrainosus
                  baseUnitValue: 0
                  source: Subject-Matter Expert Assigned
                  associatedCodeLinkList: []
                - code: G43.009
                  rangeCodeType: 0
                  codeType: 0
                  description: Migraine without aura, not intractable, without status migrainosus
                  baseUnitValue: 0
                  associatedCodeLinkList:
                  - value: A56273
                    href: https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56273&ver=26&bc=0
                totalCount: 2
                ncw: false
        '400':
          description: Bad Request
          content:
            application/json:
              example:
                error:
                - sort parameter value should be from list of [code, description]
                warning: null
                info: null
        '500':
          description: Internal server error
          content:
            application/json:
              example:
                timestamp: '2023-07-27T08:10:07.573+00:00'
                status: 500
                error: Internal Server Error
                message: 'Request processing failed: java.lang.UnsupportedOperationException: Unsupported codetype in Method getFindListQuery.'
                path: /optumcommonms/api/optum/facility/cross-coder/list
      security:
      - bearerAuth: []
    servers:
    - url: /v1/optumcommonms
  /api/optum/common/cross-coder/list/{codetype}/{code}/{tab}:
    get:
      tags:
      - Cross Coder API
      summary: Fetches cross coder table data
      operationId: getCrossCoderDataList
      parameters:
      - name: code
        in: path
        required: true
        schema:
          type: string
        example: 17000
      - name: codetype
        in: path
        required: true
        schema:
          type: string
          enum:
          - cpt
          - hcpcs
          - i10_pcs
          - i10_cm
          - i9v1
          - i9v3
        example: cpt
      - name: tab
        in: path
        required: true
        schema:
          type: string
          enum:
          - cpt
          - hcpcs
          - anesthesia_codes
          - i10_pcs
          - medicine_codes
          - dental
        example: hcpcs
      - 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, description, -description) are allowed.
        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 columns for cross coder
          content:
            application/json:
              example:
                content:
                - code: A9270
                  rangeCodeType: 0
                  codeType: 0
                  description: Noncovered item or service
                  baseUnitValue: 0
                - code: V2632
                  rangeCodeType: 0
                  codeType: 0
                  description: Posterior chamber intraocular lens
                  baseUnitValue: 0
                totalCount: 2
                ncw: false
        '400':
          description: Bad request
          content:
            application/json:
              example:
                error:
                - sort parameter value should be from list of [code, description]
                warning: null
                info: null
        '500':
          description: Internal server error
          content:
            application/json:
              example:
                timestamp: '2023-07-27T08:10:07.573+00:00'
                status: 500
                error: Internal Server Error
                message: 'Request processing failed: java.lang.UnsupportedOperationException: Unsupported codetype in Method getFindListQuery.'
                path: /optumcommonms/api/optum/facility/cross-coder/list
      security:
      - bearerAuth: []
    servers:
    - url: /v1/optumcommonms
components:
  schemas:
    CrossCodesRequest:
      type: object
      properties:
        isLcdNcdData:
          type: string
        isSmeaData:
          type: string
        isClaimsData:
          type: string
        macType:
          type: string
        contractorId:
          type: string
  securitySchemes:
    bearerAuth:
      type: http
      scheme: bearer
      bearerFormat: JWT
x-refined-from:
- optum-optum-common-facility-openapi.yml
- optum-optum-common-physician-openapi.yml
x-readme:
  explorer-enabled: true
  proxy-enabled: true