Optum

Optum Mapping APIs API

The Mapping APIs API from Optum — 4 operation(s) for mapping apis.

GitHub OpenAPI
Business capability
Medical Coding Management BC-2870.20

Operations 4

GET /api/coding/code/{codetype}/{code}/mapping/i10_pcs Fetches I10PCS to I9V3 mappings on requested codetype and code #
GET /api/coding/code/{codetype}/{code}/mapping/i10_cm Fetches I9v1 To I10CM CodeMapping on requested codetype and code #
GET /api/coding/code/{codetype}/{code}/mapping/i9v3 Fetches I10PCS to I9V3 mappings on requested Codetype and code #
GET /api/coding/code/{codetype}/{code}/mapping/i9v1 Fetches I10CM to I9V1 mappings on requested Codetype and 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-mapping-apis-api-openapi.yml

Other Resources

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

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OpenAPI Specification

optum-mapping-apis-api-openapi.yml Raw ↑ 
openapi: 3.2.0
info:
  title: Core Service Mapping APIs API
  description: Code Search Service provides the APIs for searching codes related information.
  contact:
    name: Ken Kracker
    email: ken.kracker@optum.com
  version: v1.0
servers:
- url: /v1/codesearchms
tags:
- name: Mapping APIs
paths:
  /api/coding/code/{codetype}/{code}/mapping/i10_pcs:
    get:
      tags:
      - Mapping APIs
      summary: ' Fetches I10PCS to I9V3 mappings on requested codetype and code'
      operationId: i9v3Toi10pcsMapping
      parameters:
      - name: codetype
        in: path
        required: true
        schema:
          type: string
          enum:
          - i9v3
      - name: code
        in: path
        description: 'i9v3 code '
        required: true
        schema:
          type: string
        example: 87.01
      - 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: Fetching I10PCS to I9V3 mappings
          content:
            application/json:
              example:
                code:
                  fullDescription: Pneumoencephalogram
                  code: '87.01'
                mappedCodes:
                - fullDescription: Computerized Tomography (CT Scan) of Brain using Other Contrast, Unenhanced and Enhanced
                  codeId: 3638761
                  mappingInformation: []
                  backwardMappingCodes:
                  - '87.01'
                  - '87.03'
                  code: B020Y0Z
                - fullDescription: Computerized Tomography (CT Scan) of Brain using Other Contrast
                  codeId: 3638762
                  mappingInformation: []
                  backwardMappingCodes:
                  - '87.01'
                  - '87.03'
                  code: B020YZZ
                - fullDescription: Computerized Tomography (CT Scan) of Cerebral Ventricle(s) using Other Contrast, Unenhanced and Enhanced
                  codeId: 3638775
                  mappingInformation: []
                  backwardMappingCodes:
                  - '87.03'
                  code: B028Y0Z
                - fullDescription: Computerized Tomography (CT Scan) of Cerebral Ventricle(s) using Other Contrast
                  codeId: 3638776
                  mappingInformation: []
                  backwardMappingCodes:
                  - '87.03'
                  code: B028YZZ
                - fullDescription: Computerized Tomography (CT Scan) of Cerebral Ventricle(s)
                  codeId: 3638777
                  mappingInformation: []
                  backwardMappingCodes:
                  - '87.03'
                  code: B028ZZZ
                - fullDescription: Computerized Tomography (CT Scan) of Sella Turcica/Pituitary Gland using Other Contrast, Unenhanced and Enhanced
                  codeId: 3638782
                  mappingInformation: []
                  backwardMappingCodes:
                  - '87.01'
                  - '87.03'
                  code: B029Y0Z
                - fullDescription: Computerized Tomography (CT Scan) of Sella Turcica/Pituitary Gland using Other Contrast
                  codeId: 3638783
                  mappingInformation: []
                  backwardMappingCodes:
                  - '87.01'
                  - '87.03'
                  code: B029YZZ
                - fullDescription: Magnetic Resonance Imaging (MRI) of Brain using Other Contrast, Unenhanced and Enhanced
                  codeId: 3638792
                  mappingInformation: []
                  backwardMappingCodes:
                  - '88.91'
                  - '88.96'
                  code: B030Y0Z
                - fullDescription: Magnetic Resonance Imaging (MRI) of Brain using Other Contrast
                  codeId: 3638793
                  mappingInformation: []
                  backwardMappingCodes:
                  - '88.91'
                  - '88.96'
                  code: B030YZZ
                - fullDescription: Magnetic Resonance Imaging (MRI) of Sella Turcica/Pituitary Gland using Other Contrast, Unenhanced and Enhanced
                  codeId: 3638795
                  mappingInformation: []
                  backwardMappingCodes:
                  - '88.97'
                  code: B039Y0Z
                - fullDescription: Magnetic Resonance Imaging (MRI) of Sella Turcica/Pituitary Gland using Other Contrast
                  codeId: 3638796
                  mappingInformation: []
                  backwardMappingCodes:
                  - '88.97'
                  code: B039YZZ
        '400':
          description: 'Bad Request: Some parameters were invalid'
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Notification'
              example:
                error:
                - The code provided '99213' in this web service request is not a valid 'i9v3' code.
                warning: null
                info: null
        '500':
          description: Internal server error
          content:
            application/json:
              example:
                timestamp: '2023-01-01T07:22:01.017+00:00'
                path: api/coding/code/i9v3/87.01/mapping/i10_pcs
                status: 500
                error: Internal Server Error
                requestId: a4796cc7-1
      security:
      - bearerAuth: []
  /api/coding/code/{codetype}/{code}/mapping/i10_cm:
    get:
      tags:
      - Mapping APIs
      summary: ' Fetches I9v1 To I10CM CodeMapping on requested codetype and code'
      operationId: i9v1Toi10cmMapping
      parameters:
      - name: codetype
        in: path
        required: true
        schema:
          type: string
          enum:
          - i9v1
      - name: code
        in: path
        description: 'i9v1 to i10_cm mapped codes '
        required: true
        schema:
          type: string
        example: 999.9
      - 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: Fetching I9V1 to I10CM mappings
          content:
            application/json:
              example:
                code:
                  fullDescription: Other and unspecified complications of medical care, not elsewhere classified
                  code: '999.9'
                mappedCodes:
                - fullDescription: Complication of inhalation therapy, initial encounter
                  codeId: 3548956
                  mappingInformation:
                  - value: Gem Map
                    href: '#'
                  backwardMappingCodes:
                  - '999.9'
                  code: T81.81XA
                - fullDescription: Failed or difficult intubation, initial encounter
                  codeId: 3551039
                  mappingInformation:
                  - value: Gem Map
                    href: '#'
                  backwardMappingCodes:
                  - '999.9'
                  code: T88.4XXA
                - fullDescription: Unspecified adverse effect of drug or medicament, initial encounter
                  codeId: 3551051
                  mappingInformation:
                  - value: Gem Map
                    href: '#'
                  backwardMappingCodes:
                  - '995.20'
                  - '999.9'
                  code: T88.7XXA
                - shortDescription: Best code alternative based on exact code description match
                  fullDescription: Other specified complications of surgical and medical care, not elsewhere classified, initial encounter
                  codeId: 3551138
                  mappingInformation:
                  - value: Gem Map
                    href: '#'
                  - value: Premier Pick
                    href: '#'
                  backwardMappingCodes:
                  - '998.13'
                  - '998.2'
                  - '999.9'
                  code: T88.8XXA
                - fullDescription: Complication of surgical and medical care, unspecified, initial encounter
                  codeId: 3551141
                  mappingInformation:
                  - value: Gem Map
                    href: '#'
                  backwardMappingCodes:
                  - '999.9'
                  code: T88.9XXA
        '400':
          description: 'Bad request: Some parameters were invalid'
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Notification'
              example:
                error:
                - The code provided '99213' in this web service request is not a valid 'i9v1' code.
                warning: null
                info: null
        '500':
          description: Internal server error
          content:
            application/json:
              example:
                timestamp: '2023-01-01T07:22:01.017+00:00'
                path: /api/coding/code/i9v1/999/mapping/i10_cm
                status: 500
                error: Internal Server Error
                requestId: a4796cc7-1
      security:
      - bearerAuth: []
  /api/coding/code/{codetype}/{code}/mapping/i9v3:
    get:
      tags:
      - Mapping APIs
      summary: ' Fetches I10PCS to I9V3 mappings on requested Codetype and code'
      operationId: i10pcsToi9v3Mapping
      parameters:
      - name: codetype
        in: path
        required: true
        schema:
          type: string
          enum:
          - i10_pcs
      - name: code
        in: path
        description: 'i10pcs code '
        required: true
        schema:
          type: string
        example: 4A13053
      - 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: Fetching I10PCS to I9V3 mappings
          content:
            application/json:
              example:
                code:
                  fullDescription: Biofeedback
                  code: GZC9ZZZ
                mappedCodes:
                - shortDescription: Single code alternative based in GEMs - approximate
                  fullDescription: Other individual psychotherapy
                  mappingInformation:
                  - value: Gem Map
                    href: '#'
                  - value: Premier Pick
                    href: '#'
                  backwardMappingCodes:
                  - GZ50ZZZ
                  - GZ52ZZZ
                  - GZ53ZZZ
                  - GZC9ZZZ
                  code: '94.39'
        '400':
          description: 'Bad Request: Some parameters were invalid'
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Notification'
              example:
                error:
                - The code provided 'T43.221A' in this web service request is not a valid 'i10_pcs' code.
                warning: null
                info: null
        '500':
          description: Internal server error
          content:
            application/json:
              example:
                timestamp: '2023-01-01T07:22:01.017+00:00'
                path: /api/coding/code/i10_pcs/T43.221A/mapping/i9v3
                status: 500
                error: Internal Server Error
                requestId: a4796cc7-1
      security:
      - bearerAuth: []
  /api/coding/code/{codetype}/{code}/mapping/i9v1:
    get:
      tags:
      - Mapping APIs
      summary: ' Fetches I10CM to I9V1 mappings on requested Codetype and code'
      operationId: i10cmToi9v1Mapping
      parameters:
      - name: codetype
        in: path
        required: true
        schema:
          type: string
          enum:
          - i10_cm
      - name: code
        in: path
        description: 'i10cm code '
        required: true
        schema:
          type: string
        example: E11.01
      - 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: Fetching I10CM to I9V1 mappings
          content:
            application/json:
              example:
                code:
                  fullDescription: Poisoning by selective serotonin reuptake inhibitors, accidental (unintentional), initial encounter
                  code: T43.221A
                mappedCodes:
                - shortDescription: Single code alternative based on Forward and Backward GEM
                  fullDescription: Poisoning by selective serotonin reuptake inhibitors
                  mappingInformation:
                  - value: Combo Map
                    href: '#'
                  - value: Gem Map
                    href: '#'
                  - value: Premier Pick
                    href: '#'
                  backwardMappingCodes:
                  - T43.221A
                  - T43.222A
                  - T43.223A
                  - T43.224A
                  code: '969.03'
                - fullDescription: Accidental poisoning by antidepressants
                  mappingInformation:
                  - value: Combo Map
                    href: '#'
                  - value: Gem Map
                    href: '#'
                  backwardMappingCodes:
                  - T43.011A
                  - T43.021A
                  - T43.1X1A
                  - T43.201A
                  - T43.211A
                  - T43.221A
                  - T43.291A
                  code: E854.0
        '400':
          description: 'Bad request: Some parameters were invalid'
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Notification'
              example:
                error:
                - The code provided '99213' in this web service request is not a valid 'i10_cm' code.
                warning: null
                info: null
        '500':
          description: Internal server error
          content:
            application/json:
              example:
                timestamp: '2023-01-01T07:22:01.017+00:00'
                path: /api/coding/code/i10_cm/T43.221A/mapping/i9v1
                status: 500
                error: Internal Server Error
                requestId: a4796cc7-1
      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