It’s a reference to a pointer to an int. This means the function in question can modify the pointer as well as the int itself.
You can just pass a pointer in, the one complication being that the pointer needs to be an l-value, not just an r-value, so for example
int myint;
function(&myint);
alone isn’t sufficient and neither would 0/NULL be allowable, Where as:
int myint;
int *myintptr = &myint;
function(myintptr);
would be acceptable. When the function returns it’s quite possible that myintptr
would no longer point to what it was initially pointing to.
int *myintptr = NULL;
function(myintptr);
might also make sense if the function was expecting to allocate the memory when given a NULL pointer. Check the documentation provided with the function (or read the source!) to see how the pointer is expected to be used.