Abdominoplasty Cosmetic Purpose Only?

I'm a mother of 4 children. 2 c-sections & twins. I am 5ft & weigh 100lbs. I used to have a great deal of core strength, but since having the twins 4 yrs ago, I seem to have no core strength no matter what I try. I have obvious space between muscles vertically. I saw a PS & voiced to him a main reason for me doing this surgery would be to regain muscle strength in the future. He told me this procedure is 100% cosmetic even though the muscles are stitched, it is purely visual purposes. True?

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muscle separation 5 ft 0 in to 5 ft 3 in 090-109 lbs c-section cosmetic surgery opinion

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10 Doctor Answers | Asked by twinsmomma in Missouri

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Tummy tuck is a cosmetic surgery and is not an insurance-based surgery.

Thank you for your question. Tummy tuck is a cosmetic surgery and is not an insurance-based surgery. If you have a true hernia, insurance will usually cover the hernia but not a tummy tuck.

Cosmetic or coverable by insurance?

Hello, and thank you for your question! From my experience, as the other doctors have mentioned, the codes used to bill for an abdominoplasty procedure (15830, 15847) are considered cosmetic. My practice does not accept insurance, however, I have had patients that have requested surgical notes in hopes of submitting the claim to their insurance company on thier own and being reimbursed for some of their expenses. The diagnostic code 728.84 is the code for the separation of the... more

Tummy Tuck is generally considered cosmetic

As the differing answers suggests, the answer depends on the specifics of the case. If you need to have excess skin removed as well, then the procedure would be considered a tummy tuck procedure and most likely be deemed cosmetic. In certain circumstances, insurance will cover hernia repair. You will need significant documentation of a hernia including from your primary care physician or internist before most insurance companies would consider seriously your case. more

Rectus Diastasis Repair is Cosmetic

The repair of muscle is considered cosmetic if there is no hernia present. Based on your description this would be an abdominoplasty with muscle plication. Dr. ES

Hello

A tummy tuck is Cosmetic and insurance will not pay for it. Unless you have a hernia they will cover the hernia but the the abdominal plasty(tummy)

Muscle separation repair is part of cosmetic abdominoplasty

Insurance would cover a hernia repair, but because muscle separation (called a diastasis) is a common thing following pregnancy, repair of the diastasis is a routine part of a cosmetic tummy tuck procedure. Unfortunately the muscle separation is not something that can be improved with exercise, as you have experienced.

Ventral hernia may be covered by insurance

Hello, An abdominoplasty or tummy tuck by definition is a cosmetic procedure and would not be covered by insurance. If all that you need is tightening of your abdominal wall without any skin/soft-tissue removal then your insurance company will have to decide if they will cover this as a "ventral hernia". Whether they do so or not depends on various factors including your insurance company policy. Tightening of the abdominal wall can be performed via two small incisions,... more

Twin Pregnancy with Rectus Muscle separation may be considered for insurance authorization for reconstructive repair

These are great questions. If a patient has a history of twin pregnancies and has a history of true complaints of abdominal/back weakness and discomfort based on a very large rectus muscle diastasis (separation vertically of the straight paired rectus muscles that straddle the belly button in the center of the abdomen), that may even produce a ventral (tummy side) hernia, then it is possible to submit to your insurance company a letter requesting authorization for the rectus muscle... more

Is My Abdominoplasty Cosmetic?

Dear Twinsmomma, Some muscle separation is a normal result of pregnancy and therefore is not a covered procedure by an insurance carrier. Unless there is a true hernia or a very large and hanging pannus, insurance carriers will not cover an abdominoplasty.

It is cosmetic

I assume you are asking this question because you would like to have your insurance pay for it. Sorry, but it cosmetic and insurance doesn't cover it.