I’m fairly new to Urology and I have an op report that has me a little confused.
The primary procedure is 57295 Revision of Vaginal Graft. However he also repaired/closed 3 vaginal mucosal fistulous tracts and that is where I’m getting hung up.
When asked if these might be considered rectovaginal, urethrovaginal, vesicovaginal the doctor replied "none of the above". I can’t seem to locate anything else that might qualify.
Are the fistula repairs included in the revision? or Do I just need to add a 22 to the 57295 and move on? 
Any suggestions greatly appreciated – thank you!
The fistulous tract from where the mesh was protruding was evaluated. The edges of this fistula were freshened with Metzenbaum scissors. The fresh mucosal edges were then sutured together primarily with 2-0 Vicryl suture. Good closure of the fistulous tract was identified. The two midline fistulous from where the mesh previously extruded were identified. These fistulous tracts were mucosalized. The mucosa of the fistulous tract was removed and the new mucosal raw edges were sutured together using running 2-0 Vicryl sutures. This was performed for each of the identified midline fistulous tracts. Good coaptation of the vaginal mucosa was achieved. A good closure of the fistula tracts were identified.