Search

Data

Medical Coding Data Portfolio

Empowering health care organizations with an accurate and comprehensive data portfolio

Drive better outcomes with content built for today and the AI era 
 
Your patients deserve better, and your operations deserve smarter. Optum delivers structured medical content and coding intelligence that power AI-driven solutions for every part of your workflow. With 100+ data options and 125+ rule sets, we help you stay ahead — today and tomorrow. 
Ready to transform your processes? Connect with us for a personalized consultation.

Optum advantage

It’s more than data. It’s the intelligence that powers every workflow

Optum isn’t just a supplier — we’re the engine under the healthcare IT hood. Our medical coding and pricing content supports clean claims, intelligent systems and compliance with evolving regulations.

Simplify your data strategy with a single-source provider

By consolidating your data needs with Optum, you reduce vendor complexity, enhance consistency across systems and gain a strategic supplier working towards your success. With 100+ data options and 1,000+ unique fields — Optum delivers comprehensive data depth in a single solution.

The Optum difference

Stay ahead with timely, accurate and compliant content

Optum updates and maintains core coding sets, mappings and clinical terminologies to help your teams stay aligned with the latest compliance standards.

Empower systems with proprietary content and APIs built for decision support

Optum offers proprietary content, such as consumer-friendly descriptions, designed to enhance patient understanding and engagement. Our APIs, such as CodeLogicTM search navigation, are designed to find content quickly using natural language or lay terms. In addition, we are an approved reseller of both DEX Z-Codes and AMA CPT content, giving you streamlined access to essential coding resources from a single, trusted source.

Accelerate integration with flexible delivery options

We design our content to integrate seamlessly into your systems through flat file exports, API integrations or custom configurations. This helps reduce implementation time and optimizes performance. Optum updates and maintains core coding sets, mappings and clinical terminologies to help your teams stay aligned with the latest compliance standards.

Included modules

  • Icon

    DEX Z-Code licenses for molecular diagnostic testing clarity

    Available exclusively to the commercial payer market through Optum (in partnership with Palmetto GBA), DEX® Z-Code Licenses provide payer access to the DEX® Registry, enhancing clarity in molecular 
    diagnostic testing and improved adjudication of test claims between labs and payers.

    Learn more
  • Icon

    Consumer-friendly descriptions to simplify medical terminology

    Medical codes shouldn’t be a barrier to understanding care. Optum® Consumer Code Manager (CCM) transforms complex medical terminology into clear, consumer-friendly language — available in English and Spanish — while helping you comply with CMS transparency mandates and state privacy laws.

    Learn more
  • Icon

    Comprehensive coding content (ICD-10-CM/PCS, HCPCS, DRG, CPT®)

    Access essential code set data enhanced with add-on content including links, code combinations and reference resources.

    Learn more
  • Icon

    Cross-coding content (CPT, ICD-10-CM/PCS, HCPCS and revenue codes)

    Avoid the burden of independently maintaining crosswalk relationships with Optum cross-coding data files.

    Learn more
  • Icon

    DEX Z-Code licenses for molecular diagnostic testing clarity

    Available exclusively to the commercial payer market through Optum (in partnership with Palmetto GBA), DEX® Z-Code Licenses provide payer access to the DEX® Registry, enhancing clarity in molecular 
    diagnostic testing and improved adjudication of test claims between labs and payers.

    Learn more
  • Icon

    Pricing content (relative values to Medicare pricing, including geo-specific information)

    From relative values to Medicare pricing, update fee schedules or strengthen contracts using geo-specific 
    data and CPT® reference tools.

    Learn more
Frequently asked questions

Q: Do I need special software to read or access the data files?

A: To access the customer portal, you’ll need a One Healthcare ID. Please note that certain browser requirements may apply. For more details, visit the One Healthcare ID site and check the Frequently Asked Questions (FAQ) section for technical requirements.  

Some files are provided in .zip format. To open these, you may need WinZip or another third-party compression tool. Many operating systems also include built-in support for .zip files: 

Depending on the file type, you may also need:

  • Spreadsheet software (e.g., Microsoft Excel, Google Sheets)

  • Word processing software (e.g., Microsoft Word, Google Docs)

  • A text editor (e.g., Notepad, TextEdit) 

Q: Where are the files saved once downloaded?

A: Files are saved to your browser’s default download location. This is typically your computer’s Downloads folder.

Q: How do I log in to access my data file purchase?

A: Step 1: Go to optumcoding.com/login and sign in using your One Healthcare ID.  

  •  New to One Healthcare ID? See the Create & Manage Your Online Account section within the General FAQ for more information. 

Step 2: Download your product. 

  • Click Subscription Updates under Your Account.  

  • If prompted, review and accept any agreements. 

  • On the My Products page, find and select your product. 

  • A Product Details page will load, scroll to the Downloadable Files section.

  • Use filters, if desired, then click Download next to the file you want. Files will download to your computer’s default Downloads folder.  

Step 3: Return or sign out. 

  • To return to optumcoding.com, click your profile at the top right and select Optumcoding.com.

  • To sign out, click your profile and choose Sign out.

Marketplace updates

Subscribe to The Spark

We're adding new products and services to rapidly expand our marketplace and the potential is huge. Be an early adopter and stay ahead of the trend with our bi-weekly e-updates.