CPT® Code 57267

Add-On Code

Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure)

The CPT® Code 57267 refers to the insertion of mesh or other prosthetic material for the repair of a pelvic floor defect, specifically addressing each site involved, which includes the anterior and posterior compartments, through a vaginal approach. This procedure is typically performed in conjunction with other surgical interventions such as anterior and/or posterior colporrhaphy and/or rectocele repair, which are separately reportable. During the procedure, the physician makes an incision in the vaginal wall to gain access to the underlying supportive structures, including muscles, fascia, and ligaments that are essential for pelvic floor integrity. The mesh or prosthetic material is then tailored to fit the specific dimensions required for the repair, ensuring that it adequately supports the pelvic floor. In some cases, a preconfigured mesh implant may be utilized to facilitate the repair process. The placement of the mesh involves securing it over the affected fascia and anchoring it to the underlying musculature, effectively addressing the defect in the pelvic floor. It is important to report code 57267 for each compartment that is repaired using mesh, highlighting the procedure's specificity and the need for accurate coding in relation to the surgical interventions performed.