- Dataset id:
cms_opps_addenda - Jurisdiction: US · CMS
- Date field: none. A search that sets
date_fromordate_toskips this dataset and reports it asskipped. - Access: any API key.
Filters
Send these underfilters.cms_opps_addenda in a search request. A filter not listed here, or a value of the wrong type, is a 400.
string
Exact HCPCS code, uppercase (e.g. “C1874”, “0071T”, “J9299”). Matches Addendum B rows only — Addendum A is APC-level and has no HCPCS code.
string
Exact APC (Ambulatory Payment Classification) number, e.g. “5414”. Matches the APC’s own Addendum A row and every Addendum B code assigned to it.
string
“A” for APC-level payment rows, “B” for HCPCS-code-level rows. Omit to search both.Values:
A, B.string
Exact quarter label, “yearQn” (e.g. “2026Q2” = the April 2026 release). Omit to search every ingested quarter.
string
Exact OPPS status indicator (e.g. “J1”, “N”, “T”, “S”, “E1”, “C”, “K”, “G”). Case-sensitive, uppercase.
string
“I” = CPT/Level I (digit-leading, descriptor withheld), “II” = HCPCS Level II (letter-leading, descriptor present).Values:
I, II.string
BM25 keyword match on the short descriptor (Addendum B) or APC group title (Addendum A), e.g. “brachytherapy source”. Only matches rows whose descriptor is not copyright-withheld.
string
BM25 keyword match on the official status-indicator definition text from OPPS Addendum D1 (e.g. “separately payable”, “packaged”, “inpatient only”, “pass-through”).
integer
Exact calendar year of the quarter (e.g. 2026).
integer
Inclusive lower bound on the quarter’s year.
integer
Inclusive upper bound on the quarter’s year.
number
Inclusive lower bound on the national unadjusted payment rate in dollars (e.g. 1000 for rates of $1,000+). Rows with no payment rate are excluded.
number
Inclusive upper bound on the national unadjusted payment rate in dollars. Rows with no payment rate are excluded.
Fields
Each result from this dataset has these infields:
addendum, adjusted_beneficiary_copayment, apc, changed_flag, code_level, descriptor, descriptor_withheld, effective_date, hcpcs_code, id, ira_coinsurance_pct, minimum_unadjusted_copayment, national_unadjusted_copayment, note, pass_through_expiring, payment_rate, quarter, relative_weight, revision_date, status_indicator, status_indicator_desc, url, year