C2631 — Repair device, urinary, incontinence, without sling graft
C2631 is a HCPCS Level II code for repair device, urinary, incontinence, without sling graft. It belongs to the Outpatient Prospective Payment System section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits — units per day
The most units of C2631 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 1 unit MAI 3 — Date of Service Edit: Clinical · Anatomic Consideration
- outpatient
- 1 unit MAI 3 — Date of Service Edit: Clinical · Anatomic Consideration
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for C2631
- Long descriptor
- Repair device, urinary, incontinence, without sling graft
- Short descriptor
- Rep dev, urinary, w/o sling
- Added
- April 1, 2001
- BETOS
- D1A
- Pricing indicator
- 53 — Other
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Statute.
Codes adjacent to C2631
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If C2631 is not quite right, the correct code is very often within a few positions of it.
- C2623Catheter, transluminal angioplasty, drug-coated, non-laser
- C2624Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components
- C2625Stent, non-coronary, temporary, with delivery system
- C2626Infusion pump, non-programmable, temporary (implantable)
- C2627Catheter, suprapubic/cystoscopic
- C2628Catheter, occlusion
- C2629Introducer/sheath, other than guiding, other than intracardiac electrophysiological, laser
- C2630Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector mapping, cool-tip
- C2634Brachytherapy source, non-stranded, high activity, iodine-125, greater than 1.01 mci (nist), per source
- C2635Brachytherapy source, non-stranded, high activity, palladium-103, greater than 2.2 mci (nist), per source
- C2636Brachytherapy linear source, non-stranded, palladium-103, per 1 mm
- C2637Brachytherapy source, non-stranded, ytterbium-169, per source
- C2638Brachytherapy source, stranded, iodine-125, per source
- C2639Brachytherapy source, non-stranded, iodine-125, per source
- C2640Brachytherapy source, stranded, palladium-103, per source
- C2641Brachytherapy source, non-stranded, palladium-103, per source
Questions about C2631
What is HCPCS code C2631?
C2631 is a HCPCS Level II code for repair device, urinary, incontinence, without sling graft. It sits in the Outpatient Prospective Payment System section.
Does Medicare cover C2631?
The CMS HCPCS file marks C2631 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.