Denial prevention starts with understanding the difference between 0 and 1. Correct Coding Initiative (CCI) edits are a fact of life for coders, and they come with a rule book all their own. Here's a quick reminder of when CCI says it's OK to report two codes from an edit pair on the same claim. How it works: A "0" indicator means that you cannot unbundle the two codes under any circumstances. An indicator of "1," however, means that you may use a modifier to override the edit, but only if the clinical circumstances warrant separate payment and the documentation supports the description of the modifier applied. Tip: To use modifier 59, "documentation must support a different session, different procedure or surgery, different site or organ system, separate incision or excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual," Mac says. "However, when another already established modifier is appropriate [such as an anatomical site modifier], it should be used rather than modifier 59." You can learn more by reviewing the NCCI Policy Manual and Modifier 59 Article, both available from www.cms.gov/NationalCorrectCodInitEd/. Helpful hint: