HCPCS Subscription Data File


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CALL 1-800-464-3649, Option 1

Item #: 7827
Available: NOW

To purchase Optum Data Files please contact Optum Customer Service at CALL 1-800-464-3649, option 1

Find timely, accurate, and value-added information to power your coding, billing, and practice management systems with the HCPCS Subscription Data File. Complete with clinically reviewed and abbreviated code sets and proprietary add-on information, you’ll have access to essential coding and reimbursement data for the HCPCS code set in an updatable, easy-to-use format.

  • Accurate data. Gain confidence in correct code selection the first time.
  • Quarterly updates. Have more time to implement code updates in your systems with quarterly updates.
  • Valuable add-on files. Access additional, value-added information to enhance coding precision, including code change details, modifier crosswalks, Medicare fees, and age/gender indicator edits.
The price of HCPCS Level II Subscription Data File does not include add-ons. Add-ons sold separately. Please call for details.

Available Add-on files:

  • Change Detail File – Change Types, Effective Dates, Replacement Code Crosswalk.  (Item # A0305)
  • Modifiers Crosswalk - HCPCS to Modifier crosswalk, Modifiers and Descriptions. (Item # A0302 and A0311)
  • National Average Payments – Commercial and Medicare National Average Fees. (Item # A0301)
  • Optum HCPCS Indicators – Age, Sex, Quantity, Coverage, Medicare Reference. (Item # A0304)
  • Age Range Edits – Beginning Age, Ending Age. (Item # EA0308)
  • Code History – Description, Add Date, Termination Date, Validity Change Date (Item # EA0309)
  • HCPCS Category File – Description, Category, Sub-Categories (Item # EA0310)