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Question: Sometimes I cannot find my two-code pair in the CCI edits. How do I know which code to consider the column 1 code and which to consider a column 2 code, so that I may put my modifier on the correct code?

Answer: If the codes are not listed, the codes are not bundled under the Correct Coding Initiative (CCI) edit pairs. So most likely, you would not need a CCI modifier, such as 59 (Distinct procedural service), to override the edit when warranted.

A private payer could have a black box edit, though. You would need to check with a rep for a recommendation. In addition, the CCI Manual () and CPT guidelines may offer broad instructions on types of services that generally should not be reported together. You also should be sure you've checked both non-mutually exclusive and mutually exclusive CCI edits.

Remember: Just because a code does not have a bundle in CCI does not mean a modifier is out of the picture. Even if you don't need a CCI modifier to override an edit, you might need a payment modifier for a code.