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HCPCS Subscription Data File

HCPCS Subscription Data File
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Publisher: Optum

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Subscription Data File

To purchase Optum360 Data Files please contact Optum360 Customer Service at 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.

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Features and benefits

  • 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)
  • Optum360 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)


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