Can Diastasis Recti and a Hernia Repair Be Covered Under Insurance Depending on Your Doctor and CPT Code?

June 11, 2013
Asked By:Mamaof282 in Round Rock, TX

31 yr old female with 2 children (2009, 2011). 93 lbs/active. I have a substantial separation in abdominal wall and an umbilical hernia the size of a golfball. I have contacted my ins. provider and they will not cover any repair to my abdominal wall unless it is to repair the hernia alone. Seems odd to me considering a hernia may occur again later due to the separation. Are there any doctors that will repair the separation and the hernia simultaneously with a CPT code that fits the insurance guidelines?

Answers (16)

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June 12, 2013

Answer: Hernia Repair, Correction of Diastasis, Tummy Tuck Surgery?

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Tom J. Pousti, MDBoard Certified Plastic Surgeon
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June 12, 2013

Answer: Hernia Repair, Correction of Diastasis, Tummy Tuck Surgery?

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Tom J. Pousti, MDBoard Certified Plastic Surgeon
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October 10, 2018

Answer: Insurance coverage with hernia and or diastasis recti

Warren Schutte, MDBoard Certified Plastic Surgeon
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October 10, 2018

Answer: Insurance coverage with hernia and or diastasis recti

Warren Schutte, MDBoard Certified Plastic Surgeon
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June 17, 2013

Answer: Insurance coverage

Ronald J. Edelson, MDBoard Certified Plastic Surgeon
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June 17, 2013

Answer: Insurance coverage

Ronald J. Edelson, MDBoard Certified Plastic Surgeon
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June 13, 2013

Answer: Can Diastasis Recti and a Hernia Repair Be Covered Under Insurance Depending on Your Doctor and CPT Code?

Rigo J. Mendoza, MDBoard Certified Plastic Surgeon
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June 13, 2013

Answer: Can Diastasis Recti and a Hernia Repair Be Covered Under Insurance Depending on Your Doctor and CPT Code?

Rigo J. Mendoza, MDBoard Certified Plastic Surgeon
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June 13, 2013

Answer: Diastasis Recti not Typically Covered by Insurance

Karol A. Gutowski, MD, FACSBoard Certified Plastic Surgeon
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June 13, 2013

Answer: Diastasis Recti not Typically Covered by Insurance

Karol A. Gutowski, MD, FACSBoard Certified Plastic Surgeon
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June 13, 2013

Answer: Diastasis is usually not covered by insurance.

Vincent N. Zubowicz, MDBoard Certified Plastic Surgeon
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June 13, 2013

Answer: Diastasis is usually not covered by insurance.

Vincent N. Zubowicz, MDBoard Certified Plastic Surgeon
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