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Supporting moms in a whole new way!

Filing an insurance claim

Follow the instructions below to help ensure success with your insurance claim.

Purchases from

Complete these 3 easy steps before submitting your claim:

Obtain a prescription from your doctor
Most insurance companies will require a prescription from your doctor listing the product name and prescription codes (See below).

Obtain itemized receipts
Your insurance will need to see that you purchased a specific Belly Bandit product for a specific amount. Not to worry — you can use the receipt we email you for this part.

Get your claim form
To submit an insurance claim you will need to fill out your provider's claim form. We are unable to tell you exactly where to find it, but try logging in to your provider's website and searching there. 

Codes for Prescriptions

Please share the information below with your doctor in order to complete your prescription. (Feel free to take a screenshot!) 

HCPCS Codes:
2-in-1 Bandit™ – L0621
Belly Boost - A4467
Belly Wrap (any) – L0621
Postpartum Sculpting Girdle - A4467
Sleep-On-Side-System - E0190
Thighs Disguise - A4467
V-Sling - L8310

ICD-10 Codes:
Back Pain - O99.89, M54.50, M54.51, M54.59
Edema - R60.0
Gestational Edema - O12.00
Hemorrhoids - O22.40
Other specified conditions associated with female genital organs - N94.89
Pelvic Girdle Pain - O26.719
Pelvic Joint Pain - R10.2
Pelvic and pernieal pain - R10.2
Perineum Irritation - L29.3
Perianal venous thrombosis - K64.5
Post-Op Pain - O99.89
Postpartum Back Pain O99.89, M54.50, M54.51, M54.59
Postpartum Edema - O12.05
Posture Disorder - R29.3
Pruritus (itchy skin) - L29.9
Pubic Symphysis - O71.6
Rectus Diastasis - M62.08
Round Ligament Pain - O99.89 & R10.2
Scar Conditions and Fibrosis of Skin - L90.5
Sciatic Pain - M54.40
Sleep Apnea Adult - G47.33
Sleep Disorder CM - G47.8
Snoring - R06.83
Swelling - O12.05
Unspecified Hemorrhoids - K64.9
Vaginal Itching - L29.8
Vaginal Irritation - N89.8
Varicose Veisn of Lower Extremities - O22.00
Venous Complications in Pregnancy, unspecified, 3rd Trimester - O22.9
Vulvar Varicosity - O22.10
Xerosis Cutis (dry skin) - L85.3

Purchases from a DME Provider

If you are purchasing from a DME (Durable Medical Equipment) Provider, you will need to get insurance coverage clarification directly from your point of purchase. DME's have specific requirements, so be sure to discuss with a store associate prior to purchasing. 

FSA Reimbursement

Our 2-in-1 Bandit™, The B.F.F. Belly Wrap, The Bamboo Belly from Viscose Wrap, Original Belly Wrap, Luxe Belly Wrap, V-Sling, Proof Leakproof Underwear, and Belly Boost are also eligible for reimbursement under your FSA (Flexible Spending Account) or HSA (Health Savings Account). 

Please note our online store does not accept HSA/FSA Debit Cards. If you use an FSA Debit Card, please head to to make your purchase. 

Still confused or have questions? Please contact your insurance carrier as we are unable to answer eligibility questions and/or issues.

Please note Belly Bandit does not handle any medical billing.

Many health insurance companies now cover the following products