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Treatment of Tarlov Cyst

Blue Cross & Blue Shield of Mississippi·MS · Neurosurgery, Orthopedics, Pain Management +2 more·Medical Policy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

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

Action needed
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.