V2631 — Iris supported intraocular lens
V2631 is a HCPCS Level II code for iris supported intraocular lens. It belongs to the Vision, Hearing and Speech-Language Pathology 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.
Physician fee schedule statusX
Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits — units per day
The most units of V2631 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
- 2 units MAI 2 — Date of Service Edit: Policy · Anatomic Consideration
- outpatient
- 2 units MAI 2 — Date of Service Edit: Policy · Anatomic Consideration
- DME supplier
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
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 V2631
- Long descriptor
- Iris supported intraocular lens
- Short descriptor
- Iris support intraoclr lens
- Added
- January 1, 1985
- BETOS
- D1F
- Pricing indicator
- 56 — 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.
Intraocular lenses inserted in a physician's office, effective 1 October 2014.
Codes adjacent to V2631
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If V2631 is not quite right, the correct code is very often within a few positions of it.
- V2623Prosthetic eye, plastic, custom
- V2624Polishing/resurfacing of ocular prosthesis
- V2625Enlargement of ocular prosthesis
- V2626Reduction of ocular prosthesis
- V2627Scleral cover shell
- V2628Fabrication and fitting of ocular conformer
- V2629Prosthetic eye, other type
- V2630Anterior chamber intraocular lens
- V2632Posterior chamber intraocular lens
- V2700Balance lens, per lens
- V2702Deluxe lens feature
- V2710Slab off prism, glass or plastic, per lens
- V2715Prism, per lens
- V2718Press-on lens, fresnell prism, per lens
- V2730Special base curve, glass or plastic, per lens
- V2744Tint, photochromatic, per lens
Questions about V2631
What is HCPCS code V2631?
V2631 is a HCPCS Level II code for iris supported intraocular lens. It sits in the Vision, Hearing and Speech-Language Pathology section.
Does Medicare cover V2631?
The CMS HCPCS file marks V2631 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.
How is V2631 paid under the physician fee schedule?
V2631 carries PFS status code X. Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.