Can the tummy tuck code and panniculectomy be combined and the patent pay for the diastasis rectus and umbilical separately?

Thank you for sharing your question and congratulations on your weight loss!  Insurance based and cosmetic procedures can be combined in order to defray some of the costs of surgery but this will depend on your individual situation.  See an ASPS board certified plastic surgeon in consultation, they can offer you the best advice. 

I'm not sure what your situation is relative to insurance based on the loss of weight. The patient to have an abdominoplasty that they pay for with cash repair of diastasis as well as correction of any fascial defects such as an umbilical hernia are part of that operation.

Yes.  In appropriate cases, insurance based procedures such as a panniculectomy and cosmetic procedures such as a tummy tuck can be performed in the same setting.  

Basically things differ among insurance plans quite a lot, however, one thing that is consistent is that they do not cover cosmetic procedures. While a panniculectomy is considered a functional procedure because it removes excess skin below the belly button that is literally in the way and can cause you problems, on the other hand a tummy tuck, wherein the skin above the belly button is pulled down over it and is tightened further,  is considered cosmetic. Interestingly we have found that many  weight loss patients do not need the diastasis repair and that excellent results can many times ( not always) be obtained by skin resection alone. Now that you have lost the weight if you will continue the fight by getting into the best shape you can it will make your future surgery more successful and lessen the chance you will need diastase repair.