Looking for help for a CPT for Excision of exposed urethral sling mesh via laser destruction.
While the provider was performing cystolitholapaxy for a bladder stone he came across the mesh which "slung across from the 5 to the 7 o’clock position right at the bladder neck, probably about 1 cm to 1.5 cm bridge right there at the bladder neck." Provider tried using endoscopic scissors to cut the mesh but they were not strong enough and therefore used a 550 micron laser fiber to break off the mesh and then finished the cystolitholapaxy procedure.
I am not sure if CPT 57287 is appropriate as it refers to a vaginal approach and this was also done via laser.
TIA
KM