well , Becky all your inforamtions are correct and no denial.
But I basically/ procedurally, feel that the particular procedure TOT- whether the time honored nonstandardized, or Standardized TOT (tension free sling /vaginal tape procedures or the recent most welcoming newer procedure- TOT SLINGPprocedure- the message is - they use the tape for the sling (MESH TAPE). By meaning, tape - it means, it could be fascia from patient, cadevor or dermis from human /animals SYNTHETICS etc .
Only in their APPROACH, USING SPACE, TIME CONSUMPTION, ANESTHESIA MODULATION , they differ.
However the tape is the MESH- what the CPT description says as fascia, or synthetic etc , and it is the important component of the TOT procedure. SO, THE MESH INSERTION IS AN INTEGRAL PART OF THE TOT PROCEDURE AND WE CANNOT CORROLATE THE CODE 57267 ON TO IT.
57267 IS FOR another procedure for purpose of Pelvic Floor defects - anterior ,posterior vaginocele, rectocele and repair of the pelvic floor procedures with insertion of MESH. For eg, colporrhaphy or while doing Pelvic Floor Repair procedures, if they insert a Mesh as an reinforcing or additional support, this is added as add on code, because the original procedure does not have it as a component.
I hope I make some sense, a procedural sense!
So as to my knowledge the mesh introduction is an integral component of the TOT procedure.
The payer's View is another story.
Thank you