Optum

Optum Revenue Code API

The Revenue Code API from Optum — 4 operation(s) for revenue code.

Documentation GitHub OpenAPI

Operations 4

GET /codetype/{codetype}/all Show properties for Revenue Code #

GET /codetype/revenue/{code}/properties Show properties for Revenue Code #

GET /codetype/{codetype}/{code}/revenuecodes Return CPT/HCPCS to Revenue code crosswalk for the given cpt/hcpcs {code} #

GET /codetype/{codetype}/{code}/{xwalkcodetype} Rev Codes to CPT/HCPCS Crosswalk #

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OpenAPI Specification

openapi: 3.2.0
info:
  title: Optum Real-Time eContent Web services Revenue Code 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: Revenue Code
paths:
  /codetype/{codetype}/all:
    get:
      tags:
      - Revenue Code
      summary: Show properties for Revenue Code
      operationId: getReveunueCodesList
      parameters:
      - name: codetype
        in: path
        description: The type needed to identify
        required: true
        schema:
          type: string
          enum:
          - revenue
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/RevCodeDesc'
              example:
                item:
                - '0000'
                - '0001'
                - '0002'
                - '0003'
        '401':
          description: Not Authorized
          content:
            application/json:
              example:
                timestamp: '2022-07-06T16:34:39.385Z'
                error: Unauthorized
                status: 401
        '404':
          description: Not Found - the data was not found
          content:
            application/json:
              example:
                error:
                - The requested resource 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/revenue/{code}/properties:
    get:
      tags:
      - Revenue Code
      summary: Show properties for Revenue Code
      operationId: getProperty_4
      parameters:
      - name: code
        in: path
        description: The code value for the respective codetype
        required: true
        schema:
          type: string
        example: '0250'
      - name: data
        in: query
        description: 'Comma seperated list of any of the following<UL><LI>desc-35 : up to 35 character description </LI><LI>desc-48 : up to 48 character description </LI><LI>desc-255 : up to 255 character description </LI><LI>desc-full : full description </LI></UL>'
        schema:
          type: string
          default: desc-full
        example: desc-full
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/RevCodeDesc'
              example:
                desc35: Pharmacy-General Classification
        '400':
          description: Bad data parameter
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/RevCodeDesc'
              example:
                error:
                - Bad data parameter 'bad'
                warning: []
                info: []
        '401':
          description: Not Authorized
          content:
            application/json:
              example:
                timestamp: '2022-07-06T16:34:39.385Z'
                error: Unauthorized
                status: 401
        '404':
          description: No revenue code description found
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/RevCodeDesc'
              example:
                error: []
                warning: []
                info:
                - No revenue code description found for the given revenue code you entered.
        '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/{codetype}/{code}/revenuecodes:
    get:
      tags:
      - Revenue Code
      summary: Return CPT/HCPCS to Revenue code crosswalk for the given cpt/hcpcs {code}
      operationId: getRevenueCodes
      parameters:
      - name: codetype
        in: path
        description: The codetype needed to identify the type of code
        required: true
        schema:
          type: string
          enum:
          - cpt
          - hcpcs
      - name: code
        in: path
        description: The code value for the respective codetype
        required: true
        schema:
          type: string
        example: 99213
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/PhysicianDocs'
              example:
                item:
                - revCode: '0456'
                  revCodeDesc: Emergency Room-Urgent Care
                  tobFacilityCode: '013'
                  tobFacilityCodeDesc: Hospital Outpatient
                  note: Clinic or ED Visit. Paid a separate APC.
        '400':
          description: Wrong codetype
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/PhysicianDocs'
              example:
                error:
                - The code provided ('9999') 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: Revenue code crosswalk not found
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/PhysicianDocs'
              example:
                error: []
                warning: []
                info:
                - Revenue code crosswalk not found for the code (99999) entered.
        '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/{codetype}/{code}/{xwalkcodetype}:
    get:
      tags:
      - Revenue Code
      summary: Rev Codes to CPT/HCPCS Crosswalk
      operationId: getprocCodes
      parameters:
      - name: codetype
        in: path
        description: The codetype needed to identify the type of code
        required: true
        schema:
          type: string
          enum:
          - revenue
      - name: code
        in: path
        description: The code value for the respective codetype
        required: true
        schema:
          type: string
        example: '0250'
      - name: xwalkcodetype
        in: path
        description: 'The xwalkcodetype value '
        required: true
        schema:
          type: string
          enum:
          - cpt
          - hcpcs
      - name: start
        in: query
        description: start parameter must be a non negative value and default value is 0
        schema:
          type: integer
          format: int32
          default: 0
      - name: maxresults
        in: query
        description: maxresults parameter must be a non negative value and default value is 100
        schema:
          type: integer
          format: int32
          default: 100
      responses:
        '200':
          description: Successful Response
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/RevenueCodeToProcedure'
              example:
                item:
                - code: '90296'
                  desc: Diphtheria antitoxin, equine, any route
                  tobFacilityCode: '013'
                  tobFacilityCodeDesc: Hospital Outpatient
                  note: This code is not covered by Medicare when submitted on any outpatient claim.
                link: []
        '400':
          description: Start value is negative
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/RevenueCodeToProcedure'
              example:
                error:
                - Start value is negative.
                warning: []
                info: []
        '401':
          description: Not Authorized
          content:
            application/json:
              example:
                timestamp: '2022-07-06T16:34:39.385Z'
                error: Unauthorized
                status: 401
        '404':
          description: No cpt/hcps crosswalk codes found
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/RevenueCodeToProcedure'
              example:
                error: []
                warning: []
                info:
                - No cpt/hcps crosswalk codes found for the given revenue code you entered.
        '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:
    Link:
      type: object
      properties:
        href:
          type: string
          xml:
            attribute: true
        value:
          type: string
    Item:
      type: object
      properties:
        code:
          type: string
        desc:
          type: string
        tobFacilityCode:
          type: string
          xml:
            name: tob-facility-code
        tobFacilityCodeDesc:
          type: string
          xml:
            name: tob-facility-code-desc
        note:
          type: string
        codetype:
          type: string
          xml:
            attribute: true
    RevenueCodeToProcedure:
      type: object
      properties:
        item:
          type: array
          items:
            $ref: '#/components/schemas/Item'
        link:
          type: array
          items:
            $ref: '#/components/schemas/Link'
      xml:
        name: revenue-code-to-procedure
    PhysicianDoc:
      required:
      - text
      type: object
      properties:
        title:
          type: string
        text:
          type: string
    RevCodeDesc:
      type: object
      properties:
        desc35:
          type: string
          xml:
            name: desc-35
        desc48:
          type: string
          xml:
            name: desc-48
        desc255:
          type: string
          xml:
            name: desc-255
        descFull:
          type: string
          xml:
            name: desc-full
      xml:
        name: code-properties
    PhysicianDocs:
      type: object
      properties:
        physicianDoc:
          type: array
          xml:
            name: physician-doc
          items:
            $ref: '#/components/schemas/PhysicianDoc'
      xml:
        name: physician-docs
  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