Will Insurance Pay for Diastasis Recti?

Hi there. Thanks for your question. I am not aware of insurance covering a diastasis repair as it is mostly a cosmetic issue.

This question is commonly asked, and unfortunately, in my experience, insurance companies never cover repair of diastasis.

Definitely meet with a board certified plastic surgeon to make sure that you might not have a hernia, because insurance companies may cover the hernia repair.

Best of luck to you!

A tummy tuck is considered a cosmetic procedure and is not covered by insurance. You can check with your carrier to see if diastasis repair is a covered benefit, but the tummy tuck will not be. The tummy tuck is a contouring procedure that addresses excess subcutaneous fat, skin, and repairs the abdominal wall. I've included a video I hope you find helpful.

There is an ICD-9 diagnosis code and a CPT code for diastasis and repair respectively, and therefore where there's a will there's a way.  I would say that it depends upon your insurance company and the person there who is reviewing claims or preauthorizations as well as your doctor's case based upon the medical necessity of the procedure in your case.  If you think you have a case go ahead and submit for preauthorization and see what happens.

I am not aware of an occasion (in my practice) where an insurance company has agreed to cover the procedure.

 Best wishes.

Diasthesis Recti repair is not covered by insurance. It is not a medical disease. It is for improving the look of the abdomen.