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NCC Data Acquisition API
Order Management
Legacy API to Place an order to NCC
post
Legacy API to fetch Client Order Details in NCC
get
Legacy API to fetch Client order status in NCC
get
Legacy API to fetch Vendor Order Details in NCC
get
Legacy API to fetch Vendor order status in NCC
get
API to Place an order for internal and external vendors to NCC
post
API to fetch Client Order Details in NCC
get
API to fetch Client order status in NCC
get
API to fetch Vendor Order Details in NCC
get
API to fetch Vendor order status in NCC
get
Roster Management
Track a Data Package
get
Provider Participation List
NCC Provider participation list API
get
Optum Real-Time eContent Web services
Code Information
Return base units for the given CPT Anesthesia {code}
get
Return code range
get
Return Code History for the given cpt/hcpcs/icd9v3/icd9v1/icd10cm/icd10pcs {code}
get
Show properties for the given {codetype} and {code} parameter
get
Return image filename(s) for the given code {code}
get
Return image(s) for the given code {code}
get
Return links to all the information available about a given 'code' belonging to the given 'codetype'
get
Show HyperLinks to valid code types
get
Return Index search results
get
Optum Coders Dictionary Search
get
Return instructional Notes for the given icd9v1 {code}
get
Return instructions for the given cpt {code}
get
Return the billing relationships between the given codes
get
Return section notes for the given cpt/hcpcs {code}
get
Return physician document for the given icd10cm {code}
get
CDI Information
Return the list of CDI documents for the given code
get
Return the ICD10 Physician CDI PDF Document
get
CDI and Coding Support PDF Information
Return the CDI and Coding Support PDF Document
get
Claim Review
Get Claims Information
get
Get Claims Responses
post
OPPS CrossCode Code
Show OPPS CrossCode for the Code
get
Color Codes
Show Color Codes for the given CPT code
get
Show Color Codes for the given HCPCS code
get
Show Color Codes for the given ICD10CM code
get
Show Color Codes for the given ICD10PCS code
get
Show Color Codes for the given ICD9V1 code
get
Code Specific Guidelines
Show Color Codes for the given ICD10CM code
get
Show Code Specific Guidelines for the given ICD10PCS code
get
Reference Code
Return the first 100 codes for the given 'codetype' parameter
get
Return code range
get
Return codes that match given terms sorted by ranking
get
Return the terms by ranking for all the available code types
get
Return Annotations for the given hcpcs/icd9v1 {code}
get
Return includes/excludes notes for the given code {code}
get
Coding Support
Show E&M Coding Assitant or Auditors Desk Reference documents
get
LCD
List of medicare contractors who have policies
get
Policies of a Medicare Contractor
get
Medicare Policiy Details
get
Medicare contractor region list
get
Data File
Data File List
get
Data File
get
Revenue Code
Show properties for Revenue Code
get
Show properties for Revenue Code
get
Return CPT/HCPCS to Revenue code crosswalk for the given cpt/hcpcs {code}
get
Rev Codes to CPT/HCPCS Crosswalk
get
DRG Codes
Return Index search results
get
HCC Information
Returns all the Diagnosis Codes for the supplied HCC Code
get
Returns the HCC Data for I9V1/I10CM Code
get
Returns all the HCC Codes for the supplied HCC Type
get
Show HyperLinks to valid HCC types
get
ICD10 Mapping
Return ICD-10 Mapping for the given ICD-9-V1 or ICD-9-V3 {code}
get
ICD9 Mapping
Backward Mapping to ICD-9-CM Vol-1 or ICD-9-CM Vol-3 Codes
get
Medicare Policy
Get Medicare contractors info
get
Medicare Policies Data
get
Medicare Policies
get
Modifiers
Return all the Modifiers for the supplied {codeype}
get
Returns the list of Optum/AMA Modifier -51 Exempt codes
get
Return codes and properties for the supplied {modifier} and {codetype}
get
Show properties for modifier Code
get
Return Modifiers for the supplied {code}. If you want additional information please supply additional query parameters
get
Code Fee
List of Medicare Localities and links to them. This can be used to get MPFS data
get
Return all Medicare Physician non facility Fees
get
Return all Medicare Global information for the supplied {code}
get
Links to data available for the locality
get
Optum Specialty Articles
Show Articles for Optum Specialty
get
/application.wadl/{path}
get
get
/application.wadl
get
get
Optum Common Facility
Facility Compliance APIs
Get claim
get
Update the claim
put
Get applicable codes for ABN
get
Update the claim line
put
Update the claim diagnosis
put
Submit claim
post
Reset claim
post
Inserts a new claim
post
Inserts a new claim line
post
Inserts a new claim diagnosis
post
Delete claim line edits
del
Delete the claim line
del
APC Calculator APIs
Fetches the data of APC calculator
post
Federal Register Addendum B History API
Fetches the data of federal register addendum B history
post
DRG Calculator APIs
Fetches the data of DRG calculator
post
Compliance APIs
/api/optum/common/physician/compliance/abn-form
post
Fetches medicare contractors list for a given contractor Type.
get
Get Source Rationale
get
Get Policy URL
get
/api/optum/common/compliance/place-of-service-codes
get
Cross Coder API
Fetches cross coder table data
post
Fetches Cross Coder table data
post
Fetches cross coder table data
get
MDC Optimizing Tips APIs
Fetches the file content for MDC optimization tips
get
Fetches the MDC optimizing codes tips table data
get
Coding Documentation Guideline APIs
Fetches the list of clinical documentation guidelines
get
Fetches the file content for clinical coding guidelines
get
Wage Index API
Fetches wage index list
get
UB04 Code Lists
Fetches the list of UB04 codes on codetype
get
Revenue Codes API
Fetches procedure codes for corresponding revenue code
get
Fetches revenue codes for corresponding procedure code
get
Fetches revenue codes requiring CPT HCPCS
get
Fetches all revenue codes table data
get
Provider Lookup APIs
Fetches outpatient provider lookup table data
get
OPSI Codes APIs
Fetches the list of OPSI codes
get
Fetches the list of OPSI hac quarters for CPT HCPS code
get
Fetches the list of cpt or hcpcs code associated with particular OPSI Code
get
Opps Cross Codes API
Fetches OPPS cross codes table data
get
National Charge Data API
Fetches national charge data table data
get
HCPCS Table of Drugs API
Fetches HCPCS drugs table data
get
Federal Register Addendum B API
Fetches all federal register addendum B table data
get
Diagnostic Related Groups (DRG) Indicators APIs
/api/optum/facility/drg-indicators
get
Modifier CrossWalk API
Generates the pdf format file with the details of selected modifier code
get
Returns the list of modifierCrosswalk based on the selected cpt or hcpcs code
get
National Drug Code API
Fetches the national drug code table data
get
Consumer Code Manager API
Fetches the ConsumerInfo based on the codetype and code
get
Medicare Carrier Localities
Fetches medicare carrier localities
get
Code Specific Guidelines APIs
Fetch current year code specific guidelines article
get
Fetch current year code specific guidelines articles list
get
CMS Common Physician
QPP MIPS APIs
Fetches the data for the quality performance category measures look-up
post
Generates the data for the quality performance category
get
Generates the data for the quality performance category speciality-measures
get
Generates the data for the quality performance category for measure types
get
CMS Transmittal APIs
Fetches the data for CMS Transmittal
post
Fetches the file content for CMS Transmittal
get
Fetches the data for the CMS Transmittal for given CPT ,HCPCS code
get
Policy Lookup APIs
Fetches all the policies of a given policy type and given code and/or term
post
Fetches LCD related articles of a given LCD policy id
get
Fetches all the policies of a given policy type and policy id
get
Fetches medicare contractors list for a given contractor part.
get
CCI Edits APIs
Fetches modifiers based on given code
get
Physician - Prints CCI Edits for multi code
get
Physician - Fecth CCI edits for multi code conflict view
get
Physician - Fecth CCI Edits for multi code Code View
get
Physician - Fetch CCI Edits for single code
get
CCI Edits Code Validator API
Returns list of valid codes from a string of comma separated codes
get
Medically Unlikely Edits(MUEs) APIs
Fetches the Medically Unlikely Edits table data for MUE Physician OR Facility
get
CMS IOM's Policy APIs
Fetches CMS IOM policies
get
Medicare Coverage Policy for part A and Part B APIs
Fetches NCD Policies for particular Contractor part and Code (procedural or diagnosis)
get
Fetches LCD policies for particular contractor Id , contractor part and code (procedural or diagnosis)
get
Fetches NCD Policies for particular Contractor part
get
Fetches LCD policies for particular contractor id , contractor part
get
Medicare Fee Schedule APIs
Fetches Physician time for particular CPT or HCPCS code
get
Fetches MPFS Status codes
get
Fetches MPFS payment indicators and its definitions for particular medicare rule type
get
Fetches payment indicator and status information for CPT or HCPCS codes
get
Fetches MPFS file content particular medicare rule type
get
Fetches MPFS global days for CPT and HCPCS code
get
Fetches MPFS fee schedule
get
Fetches MPFS reduction groups applicable for particular code
get
Fetches MPFS Reduction Groups applicable for particular code
get
Release Dates API
Fetches release date for particular Id
get
Not Otherwise Classified (NOC) Drug Pricing APIs
Fetches NOC pricing list
get
CMS HCC APIs
Fetches diagnosis codes on selected hcc type and hcc code
get
Fetches hcc type specific codes
get
Fetches hcc codes for the given diagnosis code
get
DME and PEN Fee Schedule APIs
Fetches DME or PEN fee schedule for all states
get
Fetches DME OR PEN fee schedule for specific state
get
Fetches rural ZIP codes available for given state
get
State List Fee Schedule APIs
Fetches state list for fee schedule
get
Clinical Diagnostic Laboratory APIs
Fetches the clinical diagnostic laboratory table data
get
Average Sales Price APIs
Fetches the Average Sales Price Drug table data
get
Ambulance Fee Schedule APIs
Fetches medicare localities
get
Fetches Ambulance Fees
get
Optum Common Physician
Facility Compliance APIs
Get claim
get
Update the claim
put
Get applicable codes for ABN
get
Update the claim line
put
Update the claim diagnosis
put
Submit claim
post
Reset claim
post
Inserts a new claim
post
Inserts a new claim line
post
Inserts a new claim diagnosis
post
Delete claim line edits
del
Delete the claim line
del
Compliance APIs
/api/optum/common/physician/compliance/abn-form
post
Fetches medicare contractors list for a given contractor Type.
get
Get Source Rationale
get
Get Policy URL
get
/api/optum/common/compliance/place-of-service-codes
get
Cross Coder API
Fetches cross coder table data
post
Fetches Cross Coder table data
post
Fetches cross coder table data
get
Coding Tips API
Fetches the list of codingTips for CPT or HCPCS codes
get
Fetches the list of annotations for HCPCS codes
get
Medicare Fee Schedule APIs
Fetches MPFS fee scedule
get
Anesthesia Fee APIs
Fetches anesthesia fee carrier localities and units information for a given anesthesia code
get
Modifier CrossWalk API
Generates the pdf format file with the details of selected modifier code
get
Returns the list of modifierCrosswalk based on the selected cpt or hcpcs code
get
National Drug Code API
Fetches the national drug code table data
get
Consumer Code Manager API
Fetches the ConsumerInfo based on the codetype and code
get
Medicare Carrier Localities
Fetches medicare carrier localities
get
Code Specific Guidelines APIs
Fetch current year code specific guidelines article
get
Fetch current year code specific guidelines articles list
get
CMS Common Facility
Supporting Documentation APIs
Fetches lists of data for supporting documentation
post
Fetches the file content for supporting documentation
get
CMS Transmittal APIs
Fetches the data for CMS Transmittal
post
Fetches the file content for CMS Transmittal
get
Fetches the data for the CMS Transmittal for given CPT ,HCPCS code
get
Policy Lookup APIs
Fetches all the policies of a given policy type and given code and/or term
post
Fetches LCD related articles of a given LCD policy id
get
Fetches all the policies of a given policy type and policy id
get
Fetches medicare contractors list for a given contractor part.
get
CCI Edits APIs
Fetches modifiers based on given code
get
Facility - Fetch CCI Edits for single code
get
Facility - Prints CCI Edits for multi code
get
Facility - Fetch CCI Edits Effective Date and Version Description
get
Facility - fetch CCI edits for multi code conflict view
get
Facility - fetch CCI edits list for all, addition and deleted codes
get
CCI Edits Code Validator API
Returns list of valid codes from a string of comma separated codes
get
Medically Unlikely Edits(MUEs) APIs
Fetches the Medically Unlikely Edits table data for MUE Physician OR Facility
get
CMS IOM's Policy APIs
Fetches CMS IOM policies
get
Medicare Coverage Policy for part A and Part B APIs
Fetches NCD Policies for particular Contractor part and Code (procedural or diagnosis)
get
Fetches LCD policies for particular contractor Id , contractor part and code (procedural or diagnosis)
get
Fetches NCD Policies for particular Contractor part
get
Fetches LCD policies for particular contractor id , contractor part
get
Device Codes APIs
Fetches the device to procedure/procedure to device codes and their descriptions
get
Fetches device to procedure/procedure to device codes and their descriptions for a specific device or procedure code
get
Facility - fetch all device codes or device dependent procedure codes
get
MCE Edits ICD9 and ICD10 API
Fetches MCE Edits data
get
Fetches MCE code edits for icd9 codes
get
Fetches MCE Edits data based on icd10code
get
DRG Information APIs
Fetches the DRG codes for given icd code
get
Fetches DRG codes for the given MDC code for icd10 or icd9 codetype
get
Fetches MDC data for icd10 and icd9
get
Fetches the ICD9 specific codes for corresponding DRG cross code
get
Fetches the I10 specific codes for corresponding DRG cross code
get
Fetches all DRG codes for given code group (icd9/icd10)
get
CC/MCC Code and Excludes List for I10CM and I9V1 APIs
Fetches the CC MCC codes excludes table data for I10CM and I9V1 codetype
get
Fetches the CC MCC codes table data for I10CM and I9V1 codetype
get
I-OCE Edits APIs
Facility - Fetch I-OCE associated with diagnosis i10cm/i9v1 code
get
Facility - Fetch I-OCE associated with specified cpt hcpcs code
get
Facility - fetch I-OCE edits
get
Facility - fetch codes associated with specified I-OCE edit number
get
APC Cross Codes APIs
Facility - fetches APC cross codes
get
Facility - Fetches CPT/HCPCS Code Specific APC Cross Codes
get
Facility - Fetches APC Cross Codes of given Apc Code
get
Type of Bill I/OCE Edit OPPS
Fetches the type of bill I/OCE edit
get
Fetches the specifics bill type of bill I/OCE edit
get
Remittance Advice Remark Codes APIs
Fetches the remittance advice remark codes for facility
get
MPFS National Payment Table Facility APIs
Fetch MPFS facility national payment
get
MCE Associated ICD9 APIs
Fetches MCE Associated ICD9 Codes
get
MCE Associated ICD10 APIs
Fetches the mce associated codes table data for mce icd 10 parent code
get
Fetches the mce associated codes dropdown values for mce icd 10 code =4 and 5
get
Fetches the mce associated Codes table data for mce icd 10 child code
get
Health Care Decision Reason API
Fetches the healthCare reason codes table data
get
Device Offset Codes Pair APIs
Fetches the device offset code pairs
get
Claim Status Code APIs
Fetches the claim status codes
get
Claim Status Category Code APIs
Fetches the claim status category codes
get
Claim Adjustment Reasons Codes APIs
Facility - fetch claim adjustment reasons codes
get
Release Dates API
Fetches release date for particular Id
get
Not Otherwise Classified (NOC) Drug Pricing APIs
Fetches NOC pricing list
get
CMS HCC APIs
Fetches diagnosis codes on selected hcc type and hcc code
get
Fetches hcc type specific codes
get
Fetches hcc codes for the given diagnosis code
get
DME and PEN Fee Schedule APIs
Fetches DME or PEN fee schedule for all states
get
Fetches DME OR PEN fee schedule for specific state
get
Fetches rural ZIP codes available for given state
get
State List Fee Schedule APIs
Fetches state list for fee schedule
get
Clinical Diagnostic Laboratory APIs
Fetches the clinical diagnostic laboratory table data
get
Average Sales Price APIs
Fetches the Average Sales Price Drug table data
get
Ambulance Fee Schedule APIs
Fetches medicare localities
get
Fetches Ambulance Fees
get
Core Service
Filter Dictionary Terms
/api/coding/filter-dictionary-terms
get
Print Code Detail Summary API
Fetches the file content for print code summary
post
Code Information APIs
Fetches the code type for the requested code
post
Validate if the given code is valid or deleted or invalid
get
Fetches the details of the code based on codetype
get
Returns the complete code range
get
Fetches the root operation definition for a code and term.
get
Fetches the root operation definition for a code.
get
Fetches the LayDescription based on the codetype and code
get
Multi code search results
get
Returns the complete pcs code range
get
I10PCS Code Builder APIs
Returns body system, section , options , code description and other tabular fields like Body Part, Approach, Device and Qualifier available for the I10 PCS code type
get
Returns I10 PCS codes that are started with searched code
get
Returns body system, section and options available for the I10 PCS code type
get
Modifiers APIs
Returns the list of codes associated with a modifier
get
Generates the pdf format file with the details of selected modifier code
get
Returns the list of modifierCrosswalk based on the selected code
get
Returns the list of codes associated with a modifier
get
Returns the list of modifiers based on the selected code type
get
/api/coding/code/modifier/{modifier}/validate
get
Notes Information APIs
/api/coding/code/{code}/ama-section-guidelines-doc
get
Fetches I10CM chapter notes
get
Fetches CPT or I10CM notes
get
Fetches CPT ,I10CM ,I9v1 range notes
get
Fetches CPT ,HCPCS ,I10_CM section notes
get
Fetches CPT sub section notes
get
Mapping APIs
Fetches I10PCS to I9V3 mappings on requested codetype and code
get
Fetches I9v1 To I10CM CodeMapping on requested codetype and code
get
Fetches I10PCS to I9V3 mappings on requested Codetype and code
get
Fetches I10CM to I9V1 mappings on requested Codetype and code
get
Color codes APIs
Fetches I9v1 or I9v3 sex color codes
get
Fetches the I10CM for the requested SEX code type
get
Fetches the I10CM for the requested PAC code type
get
Fetches the I10CM for the requested other color code type
get
Fetches manifestation color codes of facility and physician
get
Fetches I10CM AGE color codes
get
Fetches CPT or HCPCS reinstated color codes
get
Fetches new , revised or deleted color codes
get
Fetches I9v3 OR color codes
get
Fetches I9v3 Coverage color codes
get
Fetches pac color codes of I9v1
get
Fetches manifestation color codes
get
Fetches I9v1 CC color codes
get
Fetches I9v1 Age color codes
get
Fetches Valid-OR, DRG-Non-OR, Non-OR, C-Hac or Coverage color codes
get
Fetches Sex-Male, Sex-Female color codes
get
Fetches HCPCS Quantity color codes
get
Fetches CPT unlisted color codes
get
Fetches CPT Resequenced color codes
get
Fetches CPT Modifier-80 color codes
get
Fetches CPT ADD-ON color codes
get
Fetches CPT 51 Exempt Color Codes
get
Fetches CPT 50 Exempt Color Codes
get
Code Image APIs
Fetches the I9v1 ,I9v3 ,CPT ,HCPCS ,I10_pcs ,I10_cm image
get
Fetches the images based on code or term search
get
Fetches image file
get
Code History APIs
Fetches the complete history for a code.
get
Future Codes APIs
Fetches new, revised Or deleted future codes
get
Merck Manual API
Fetches Merck Manuals for given code
get
Fetches the file content for Merck Manual PDF for HAC quarters before 2022-04-01
get
Code Book APIs
Fetch the code book for the given code type
get
Fetch the code book for the given pcs code type
get
Optum Data Exchange
documentSearch
Search patient document
post
documentRetrieve
Retrieve patient document
post
ODX V3-XDR Ingestion Service API
V3 Ingestion
Ingest V3 payload with P&R Request
post
