You should not report the following separately if performed to facilitate a therapeutic/diagnostic infusion or injection:
" Use of local anesthesia
" IV start
" Access to indwelling IV, subcutaneous catheter,or port
" Flush at conclusion of infusion
" Standard tubing, syringes, and supplies.
Youll find this rule in CPT guidelines. And CMS agrees, Kampa says (www.cms.hhs.gov/transmittals/Downloads/R129OTN.pdf).