Ask Dr. Z

"Patient with lateral tunnel fenestrated Fontan on warfarin who presented with hemoptysis. Prior to the procedure the patient underwent bronchoscopy. There were areas in the right upper lobe and left lower lobe that were suspicious for bleeding, but no true active bleeding was noted. Angiographically, there was mild aortopulmonary collateral burden bilaterally in the setting of tiny networks of collaterals. Collaterals from numerous vessels (right and left side) were occluded with coils and embolization particles."

Since no active bleeding was noted, but the reason for the embolization was hemoptysis, should this be reported with codes 37242 and 37242-51 (embolization for acquired arterial malformations) or with codes 37244 and 37244-51 (embolization for arterial or venous hemorrhage)?