codes

Find billing codes for a service

Workflows

Workflow estimate-visit-cost, step 3/4 find-codes: Estimate what a visit will cost a person before care, under their plan, at a specific place.

  • Purpose: Candidate codes for each expected service; clarify names details that change the code.
  • Call after: find_providers
  • Next: price_claim

Workflow compare-places, step 2/3 find-codes: Compare what the plan pays different nearby providers for the same service.

  • Call after: find_plan
  • Next: get_rates

Workflow compare-coverage-routes, step 1/2 find-codes: Compare the same services under the person's plan, Original Medicare and hospital cash prices in one call.

  • Purpose: Confirms the codes and returns their facts (hospital status indicator, Medicare fee).
  • Next: get_rates_batch

Workflow market-analysis, step 1/4 find-codes: Aggregate rate statistics for services across insurers and all providers in an area (benchmarking, research, negotiation prep, exports).

  • Purpose: Codes for each service, from the code dictionary.
  • Next: estimate_market_analysis
get/v1/codes

Request

  • Base URL: https://api.ticexplorer.com
  • URL: https://api.ticexplorer.com/v1/codes
  • Auth: HTTP bearer

Query parameters

qstring required

Service in plain words, or one or more codes

Example:chest x-ray
zipstring nullable

ZIP for locality-adjusted Medicare fees

limitinteger

Response

Successful Response

next_cursorinteger nullable
settingobject nullable

Where care happens, when the words name it (urgent care, ER, telehealth, hospital outpatient, ASC, home, office): id, name, CMS place of service pos (+ pos_options), note on how that setting bills, visit_codes.

clarifystring[]
next_stepsstring[]

Changes

No recorded changes to this operation across all 1 revision of this API.