10 Cm Diastasis Rectus - Would That Be Considered a Medical Case with Insurance?

Diastasis recti is a midline separation between the rectus abdominis muscles.  It is a common and normal condition in newborns.  They usually grow out of it as the muscle grows.

Women typically develop it due to multiple pregnancies.  Women 12 or more weeks pregnant should avoid aggressive abdominal exercises, which can worsen the condition.

Insurance typically does not cover diastasis recti unless it is associated with symptomatic ventral or umbilical hernias.

Thank you for your question. Unfortunately insurance companies have their own criteria for what consitutes medical necessity. In some situations it can be quiete arbitrary.  Contact your insurance company and ask for the medical and documenation cirteria for rectus diastasis repair to be considered a medical necessity.  Get copies of your records and the ICD 9 and CPT codes from your doctor and submit them to your insurance company. Insurance companies tend to be more responsive to their members. Best wishes.