C2631 Rep dev, urinary, w/o sling

Repair device, urinary, incontinence, without sling graft

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for C2631

Payer coverage policies that name C2631

C2631 appears in 1 coverage policy from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaUrinary Incontinence (0223)covered if criteria are metJul 16, 2026payer document
AetnaUrinary Incontinence (0223)listed, no stanceJul 16, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • KY: $0.00 (asc), effective Jan 1, 2026
  • ND: $0.00 (physician), effective Aug 1, 2026
  • OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.