Glaucoma Treatment
Receipt of Services
VEHSS includes the percentage of people with diagnosed glaucoma who received treatment based on payment claims in administrative claims databases and medical record information in the IRIS Registry of electronic health records. This indicator represents the percent of diagnosed glaucoma patients who received at least one instance of an included treatment during the year of observation. Therefore, all prevalence estimates are based on a denominator of glaucoma patients who had a visit that included a glaucoma diagnosis.
Glaucoma Drain
Glaucoma drain procedures are identified among patients with diagnosed glaucoma based on the procedure codes listed below.
| Included Procedures | Procedure Codes |
|---|---|
| Transluminal dilation of aqueous outflow canal; with and without retention of device or stent | 66174, 66175 |
| Shunt procedure: aqueous shunt to reservoir, shunt procedures on the anterior sclera of the eye | 66179, 66180, 66183, 66184, 66185 |
| Additional shunt Healthcare Common Procedure Coding System (HCPCS) codes; can be included in category above | C1783, L8612, 0191T, 0253T, 0376T, 0444T, 0445T, 0449T, 0450T, 0474T, 0X46T, 0X47T |
The data sources available for this category include Medicare (default), IRIS Registry, Medicaid, and MarketScan commercial insurance claims. See data source documentation.
Laser/photocoagulation therapy procedures are identified among patients with diagnosed glaucoma based on the procedure codes listed below.
| Included Procedures | Procedure Codes |
|---|---|
| Goniotomy | 66990 |
| Trabeculectomy/excision procedures on the anterior sclera of the eye | 66150, 66170, 66172 |
| Iridectomy/incision procedures on the iris, ciliary body of the eye | 66500, 66505, 66600, 66625, 66630 |
| Scleral reinforcement | 67255 |
| Ciliary body destruction | 66720, 66740 |
The data sources available for this category include Medicare (default), IRIS Registry, Medicaid, and MarketScan commercial insurance claims. See data source documentation.
Laser Surgery
Laser surgery procedures are identified among patients with diagnosed glaucoma based on the procedure codes listed below.
| Included Procedures | Procedure Codes |
|---|---|
| Laser trabeculoplasty/incision procedures on the anterior chamber of the eye | 65820, 65850, 65855 |
| Cyclophotocoagulation/laser iridotomy/destruction procedures on the iris, ciliary body of the eye | 66700, 66710, 66711, 66761, 66762 |
| Cyclophotocoagulation/laser iridotomy | 66761, 66762 |
The data sources available for this category include Medicare (default), IRIS Registry, Medicaid, and MarketScan commercial insurance claims. See data source documentation.
Glaucoma Prescription Drugs
Glaucoma prescription drugs are identified among patients with diagnosed glaucoma based on the National Drug Codes (NDC).