Would Like to Have Diastasis Recti Surgery Done Before End of This Year?

Diastasis recti is stretching of the abdominal wall fascia, usually from pregnancy or obesity. Repair of this is part of a properly-performed cosmetic abdominoplasty (tummy tuck).

Diastasis recti is NOT a ventral hernia. Ventral hernia repair is an insurance-reimbursible expense, but not a tummy tuck.

This is not a "coding" issue; coding it "appropriately" ensures it will be considered cosmetic and not covered, so stop looking for a surgeon who will commit insurance fraud. Save up and see an ABPS-certified plastic surgeon who is also an ASAPS member. Best wishes! Dr. Tholen

Unfortunately most insurance companies do not cover for the repair of diastasis recti. Reputable surgeons would not "code it" differently just to get it covered, which to some, would be considered fraud. Remember, if your surgeon is willing to lie to the insurance company, how do you know he/she wold not lie to you as well. The best plan would be to figure out a good way to save up the money. There are also good financing companies like CareCredit which might work for you. Good luck, and be careful.

There is no insurance coverage for a strictly cosmetic procedure ( normal tummy tuck). If you have a large apron hanging down with rashes and other symptoms, then you might get insurance to cover.