All PlansCoverageMedium impact
Treatment of Tarlov Cyst
Blue Cross & Blue Shield of Mississippi·MS · Neurosurgery, Orthopedics, Pain Management +2 more·Medical Policy
We identified it
Jun 20, 2026
Summary
This is a new medical policy (A.7.01.76) establishing coverage guidelines for Tarlov cyst treatment. The policy covers conservative treatments, percutaneous procedures, and surgical interventions for symptomatic Tarlov cysts, with detailed diagnostic criteria and treatment protocols.
Action Required
Immediately: Review new policy A.7.01.76 for Tarlov cyst treatment guidelines. Billing team should familiarize themselves with coverage criteria for conservative, percutaneous, and surgical treatments. Ensure documentation supports medical necessity for symptomatic cases and includes appropriate imaging (MRI preferred) and clinical correlation. Update coding and prior authorization workflows as needed based on specific treatment approaches.