Optum

Optum OPSI Codes APIs API

The OPSI Codes APIs API from Optum — 3 operation(s) for opsi codes apis.

Documentation GitHub OpenAPI

Operations 3

GET /api/optum/facility/opsi-codes Fetches the list of OPSI codes #

GET /api/optum/facility/opsi-codes/quarters/{code} Fetches the list of OPSI hac quarters for CPT HCPS code #

GET /api/optum/facility/opsi-codes/codes-associated-with-opsi/{opsi-code}/{opsi-code-id} Fetches the list of cpt or hcpcs code associated with particular OPSI Code #

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-opsi-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

openapi: 3.2.0
info:
  title: Optum Common Facility OPSI Codes APIs API
  description: MicroService that contains Optum module-related information
  contact:
    name: Ken Kracker
    email: ken.kracker@optum.com
  version: v1.0
servers:
- url: /v1/optumcommonms
tags:
- name: OPSI Codes APIs
paths:
  /api/optum/facility/opsi-codes:
    get:
      tags:
      - OPSI Codes APIs
      summary: Fetches the list of OPSI codes
      operationId: fetchOpsiCodesList
      parameters:
      - 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: limit
        in: query
        required: false
        schema:
          type: integer
          format: int32
          default: 50
        example: 150
      - name: page
        in: query
        required: false
        schema:
          type: integer
          format: int32
          default: 1
      - 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 the list of OPSI codes
          content:
            application/json:
              example:
                content:
                - code: A
                  opsiCodeId: '1'
                  opsiCodeLink:
                    value: A
                    href: /api/optum/facility/opsi-codes/codes-associated-with-opsi/A/1
                  description: DMEPOS Fee Schedule
                  paymentStatus: DMEPOS Fee Schedule
                  paymentCalculation: DMEPOS fee schedule for the specific area.
                  tips: Non-implantable prosthetics, and orthotics can be billed to the fiscal intermediary by hospitals and are paid under the DMEPOS fee schedule.
                - code: A
                  opsiCodeId: '2'
                  opsiCodeLink:
                    value: A
                    href: /api/optum/facility/opsi-codes/codes-associated-with-opsi/A/2
                  description: Physical, Occupational and Speech Therapy
                  paymentStatus: Physician Fee Schedule
                  paymentCalculation: MAC-specific fee schedule.
        '404':
          description: Not found
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Notification'
              example:
                timestamp: '2023-07-14T06:37:03.741+00:00'
                status: 404
                error: Not Found
                message: Not Found
                path: /optumcommonms/api/optum/facility/opsi-code
        '500':
          description: Internal server error
          content:
            application/json:
              example:
                timestamp: '2023-07-28T06:36:22.518+00:00'
                path: /optumcommonms/api/optum/facility/opsi-codes
                status: 500
                error: Internal Server Error
                requestId: e36d239e-324
      security:
      - bearerAuth: []
  /api/optum/facility/opsi-codes/quarters/{code}:
    get:
      tags:
      - OPSI Codes APIs
      summary: Fetches the list of OPSI hac quarters for CPT HCPS code
      operationId: fetchOpsiCodeQuarterList
      parameters:
      - name: code
        in: path
        required: true
        schema:
          type: string
        example: 99213
      - 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 the list of OPSI hac quarters for CPT HCPCS code
          content:
            application/json:
              example:
              - code: B
                year: 2025-1
              - code: B
                year: 2024-4
              - code: B
                year: 2024-3
              - code: B
                year: 2024-2
        '404':
          description: Not found
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Notification'
              example:
                timestamp: '2023-07-14T06:37:03.741+00:00'
                status: 404
                error: Not Found
                message: Not Found
                path: optumcommonms/api/optum/facility/opsi-codes/quarter/99213
        '500':
          description: Internal server error
          content:
            application/json:
              example:
                timestamp: '2025-01-10T06:36:22.518+00:00'
                path: optumcommonms/api/optum/facility/opsi-codes/quarters/99213
                status: 500
                error: Internal Server Error
                requestId: e36d239e-324
      security:
      - bearerAuth: []
  /api/optum/facility/opsi-codes/codes-associated-with-opsi/{opsi-code}/{opsi-code-id}:
    get:
      tags:
      - OPSI Codes APIs
      summary: Fetches the list of cpt or hcpcs code associated with particular OPSI Code
      operationId: fetchOpsiCodesList_1
      parameters:
      - name: opsi-code-id
        in: path
        required: true
        schema:
          type: string
        example: 1
      - name: opsi-code
        in: path
        required: true
        schema:
          type: string
        example: A
      - 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: limit
        in: query
        required: false
        schema:
          type: integer
          format: int32
          default: 50
        example: 150
      - name: page
        in: query
        required: false
        schema:
          type: integer
          format: int32
          default: 1
      - 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 the list of cpt or hcpcs code associated with particular OPSI code
          content:
            application/json:
              example:
                content:
                - code: 0001F
                  description: 'Heart failure assessed (includes assessment of all the following components) (CAD): Blood pressure measured (2000F) Level of activity assessed (1003F) Clinical symptoms of volume overload (excess) assessed (1004F) Weight, recorded (2001F) Clinical signs of volume overload (excess) assessed (2002F)'
                  title: Non-Covered Items and Services based on Statutory exclusions, Not covered by any Medicare outpatient benefit category, Not reasonable and necessary
                - code: 0005F
                  description: 'Osteoarthritis assessed (OA) Includes assessment of all the following components: Osteoarthritis symptoms and functional status assessed (1006F) Use of anti-inflammatory or over-the-counter (OTC) analgesic medications assessed (1007F) Initial examination of the involved joint(s) (includes visual inspection, palpation, range of motion) (2004F)'
                  title: Non-Covered Items and Services based on Statutory exclusions, Not covered by any Medicare outpatient benefit category, Not reasonable and necessary
        '404':
          description: Not found
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Notification'
              example:
                timestamp: '2023-07-14T06:37:03.741+00:00'
                status: 404
                error: Not Found
                message: Not Found
                path: /optumcommonms/api/optum/facility/opsi-code/codes-associated-with-opsi/A/1/
        '500':
          description: Interal server error
          content:
            application/json:
              example:
                timestamp: '2023-07-28T06:36:22.518+00:00'
                path: /optumcommonms/api/optum/facility/opsi-code/codes-associated-with-opsi/A/1
                status: 500
                error: Internal Server Error
                requestId: e36d239e-324
      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