Screening Services

Vision Care Services

What to know

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.

Young child getting an eyesight screening

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

Explore data in the VEHSS application‎

The data source available for this category includes NSCH.

Patients receiving screening services

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

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.