Wiki EGD with GI bleed next day

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newhall94

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One of the doctors in my practice did an EGD with biopsy, patient went home and the next day presented to the ER with a GI bleed. Patient had another EGD and it was determined that the bleed was related to the first EGD. I know there is no global period for an EGD so would I still have to use a modifier to alert the insurance company that the two procedures are related? If so, which one would I use? 58, 76 or 78? Thanks for any help!
 
Just to verify-the first EGD caused the bleeding? Or it was related to the reason for the first EDG?

There's a fine distinction.

If it was caused by it, unfortunately, tough for the doctor. You cause it, you fix it. But 76 would be the way to go I feel since there is no post-procedure time frame.
 
It was a result of the first EGD, doc did a biopsy, patient had no bleeding at the end of the that procedure however, the next day, patient has GI Bleed. So, looks like I won't be billing the second procedure...
 
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