Published on 6 July, 2023Post pregnancy abdominoplasty item number The abdominoplasty (tummy tuck surgery) item number for post pregnancy rectus divarication reconstruction was reintroduced last year, with the government announcing inclusion of item number 30175 on the Medicare Benefits Schedule. The MBS criteria for this procedure was adjusted slightly from the 1st of July.If you are considering abdominoplasty after pregnancy – or know someone who is – please read on, and share. I think I have muscle separation / rectus diastasis and I’m considering a tummy tuck.What does the MBS item number criteria mean for me? To meet the criteria you must:have an abdominal wall defect (separation) of 3cm or more, measured by diagnostic imaging (eg ultrasound), as well as;have tried conservative treatment, which must have included physiotherapyImage, right: before and 4 months after abdominoplasty and breast augmentation with Dr Sharp using 300cc anatomical breast implants. Plus you must be experiencing at least one of the following:pain at site of diastasis during functional use (ie when using your tummy muscles you have moderate or severe pain in the area). This pain must be ‘moderate’ or ‘severe’ or;lower back pain or;urinary symptoms Frequently asked questions about post partum or post pregnancy abdominoplasty surgery Q. How soon after pregnancy can I claim this item number?A. 12 months or moreQ. Does it matter how long ago my pregnancy was?A. NoQ. Do I need a GP referral?A. YesQ. If I meet the criteria, am I allowed to claim the rebate even if I am also having a cosmetic procedure at the same time?A. Yes. You will be able to claim your eligible rebate for the item numbered procedure. You won’t be able to claim any rebate for the cosmetic component of your costs; these will be additional ‘out of pocket’ fees.Q. What documentation or tests do I need in order to prove that I have seen a physiotherapist or have pain or urinary symptoms?A. You don’t need any documentation/proof. This is something Dr Sharp will discuss as part of your history-taking during consultation. He will need to document at least one of these symptoms in your file, so please tell him if any apply.Q. If I meet the criteria, what does that mean?A. Your abdominoplasty is considered reconstructive, not cosmetic. You can claim rebates. If you have private health insurance that covers the item number #30175, your hospital fee will be covered by your insurer (your excess will be payable upon admission) and you can claim a small portion of the surgeon and anaesthetic fees postoperatively.If you aren’t insured, your hospital fee will be 100% out of pocket but you will receive a Medicare rebate for a portion of the surgeon and anaesthetic fees.Q. What do I need to ask my GP for when I go to get a referral and ultrasound request? A. Please ask for a GP referral outlining your area of concern, date of last pregnancy and any of the symptoms mentioned above. Please also ask them to refer you for an ultrasound of your rectus wall, to measure the widest point of divarication. Some patients have advised us that their GP was not aware of the new item number or reconstructive status of postpartum abdominoplasty. Please bring this article or the item number 30175 to your GP appointment, to assist them if need be. We are always very happy to receive a phone call from your GP’s office if they have any questions or require clarification I order to provide your referral. I think I am eligible for the item number; what will my rebate be?Please note that your eligibility for this procedure and potential rebates can only be determined following a consultation with your specialist plastic surgeon. Even if you think you are eligible based on the above information, a final determination cannot be made until diagnostic imaging has been completed and you have your consultation with Dr Sharp. Once this has occurred, we are able to provide a written estimate of fees inclusive of rebates. Do you have any more abdominoplasty questions? Feel free to contact us! Note: All procedures carry benefits, risks and a recovery period. To learn more about these, please navigate to the procedure’s page here. Results vary due to lifestyle habits, age, natural body habitus and adherence to post operative instructions, among other factors. These images are only reflective of the outcome for this individual patient.Dr David Sharp MBBS, FRACS (Plast), B. Soc Sci (psychology) MED0000962857 is a specialist plastic surgeon as registered medical practitioner in Brisbane. Please click here to view the credentials of our clinical team members.To book your first consultation, please call 07 3202 4744 to speak to our friendly patient support team.Image, left: before and 4 months after abdominoplasty and breast lift with Dr Sharp.Want to learn more about abdominoplasty surgery after pregnancy? Submit an enquiry via our booking form (top right corner of website) or our live chat to receive a detailed email with costs, recovery and consultation information.