Welcome to the Department of Health Care Services Welcome to Medi-Cal Welcome to the Department of Health Care Services

Medi-Cal Logo
Click to Sign Up for MCSS emails

TAR Requirements for Diclofenac Sodium Injection

March 27, 2018

Effective for dates of service on or after May 1, 2018, ICD-10-CM diagnosis codes J45.50 and J82 are no longer required when billing for HCPCS code J1130 (injection, diclofenac sodium, 0.5 mg). Instead, providers are required to submit an approved Treatment Authorization Request (TAR) when billing. The TAR must document the following:

  • the service is medically necessary.
  • alternative drugs (for example, ibuprofen, ketorolac, etc.) have been tried or considered, have failed or are contra-indicated.
  • a doctor’s order, prescription and/or treatment plan written for the service requested.