Age-Related Macular Degeneration (AMD) Treatment

What to know

  • VEHSS includes indicators on the percentage of people with diagnosed AMD who had a treatment claim from payment claims in administrative claims databases and medical record information in the IRIS Registry of electronic health records.
  • VEHSS reports the percent of patients diagnosed with AMD who received at least one included treatment during the year of observation.
  • Therefore, all prevalence estimates are based on a denominator of patients who had a visit during the calendar year that included an AMD diagnosis.
Eye doctor sticking needle in patients eye

Anti–vascular endothelial growth factor (Anti-VEGF) injection

Anti-VEGF injection procedures are identified among patients with diagnosed AMD based on the procedure, diagnosis, and national drug codes (NDC) listed below.

Included Procedures

Procedure, Diagnosis and NDC Codes

Injection, aflibercept

J0178, J9400

Injection, ranibizumab

J2778

Injection, bevacizumab, unclassified injectable, or compounded drug

J9035, J3490, J3590, J7999, C9257, C9142, Q5107, or Q9977 AND claim has primary diagnosis of AMD OR includes 67028

Intravitreal injection of pharmacologic agent

67028 with anti-VEGF NDC (61755-005-02, 61755-005-55, 50242-080-02, 50242-0080-02, 50242-080-03, 50242-0080-03, 50242-060-01, 50242-060-10)

Explore Data in the VEHSS Application‎

The data sources available for this category include Medicare (default), IRIS Registry, Medicaid, Managed Vision Care, and MarketScan commercial insurance claims.

Laser/photocoagulation therapy

Laser/photocoagulation therapy procedures are identified among patients with diagnosed AMD based on the procedure and diagnosis codes listed below.

  • Included Procedures - Destruction procedures on the retina or choroid, photocoagulation
  • Procedure Codes - 67220 or G0186

The data sources available for this category include Medicare (default), IRIS Registry, Medicaid, Managed Vision Care, and MarketScan commercial insurance claims.

Explore Data in the VEHSS Application‎

The data sources available for this category include Medicare (default), IRIS Registry, Medicaid, Managed Vision Care, and MarketScan commercial insurance claims.

Photodynamic therapy

Photodynamic therapy procedures are identified among patients with diagnosed AMD based on the procedure and diagnosis codes listed below.

Included Procedures

Procedure Codes

Destruction procedures on the retina or choroid, photodynamic therapy

67221

Destruction procedures on the retina or choroid, photodynamic therapy, second eye

67225

Verteporfin injection

J3396

Explore Data in the VEHSS Application‎

The data sources available for this category include Medicare (default), IRIS Registry, Medicaid, Managed Vision Care, and MarketScan commercial insurance claims.