Screening Services
Vision Care Services
The Vision and Eye Health Surveillance System (VEHSS) reports the prevalence of indicators for receiving screening services using self-report from national surveys and additional measures from administrative claims databases.
Reported Receiving Screening
Vision screening includes self-response survey questions from the National Survey of Children’s Health (NSCH) indicating that the respondent’s child had a vision test or screening. Those who responded ”yes” were then asked where the screening occurred.
| Survey | Description | Question Text | Variable name(s) | Sample | Response options |
|---|---|---|---|---|---|
| NSCH | Percentage of children who have ever had their vision tested with pictures, shapes, or letters | Has this child EVER had his or her vision tested with pictures, shapes, or letters? | K4Q31_R | Ages 0-17 | – Yes, – No, |
| NSCH | Percentage of children who have ever had their vision tested with pictures, shapes, or letters at eye doctor or specialist, pediatrician/general doctor’s office, clinic, school, or other | If yes, what kind of place or places did this child have his or her vision tested? Mark ALL that apply. | k4q32x01 k4q32x02 k4q32x03 k4q32x04 k4q32x05 |
Ages 0-17 | – Eye Doctor, – Specialist, – Pediatrician / general doctor’s office, – Clinic, – School, – Other |
The data source available for this category is NSCH. See data source documentation.
VEHSS calculates the annual percentage of people who had a vision or eye disease screening claim in administrative claims and electronic health record (EHR) registry data. These prevalence rates and counts only include services that generated an insurance claim or EHR with an included procedure code during the year of observation.
Screening services include the following subgroups:
| Subgroup | Included Procedures | Procedure Codes |
|---|---|---|
| Retinal imaging telemedicine | Remote imaging for detection of retinal disease (e.g., retinopathy in a patient with diabetes) with analysis and report under physician supervision, unilateral or bilateral. | 92227 |
| Remote imaging for monitoring and management of active retinal disease (e.g., diabetic retinopathy) with physician review, interpretation and report, unilateral or bilateral | 92228 | |
| Glaucoma screening | Glaucoma screening for high-risk patients furnished by an optometrist or ophthalmologist | G0117 |
| Glaucoma screening for high-risk patients furnished under the direct supervision of an optometrist or ophthalmologist | G0118 | |
| Vision screening | Vision screening | 99174, 99177 |
The data sources available for this category include Medicare (default), IRIS Registry, Medicaid, Managed Vision Care, and MarketScan commercial insurance claims. See data source documentation.