Approximate nearest neighbor (ANN) graph indices such as HNSW and Vamana construct their edge topology in full-precision or high-fidelity quantized metric spaces, relegating binary quantization (BQ) to a post-hoc distance estimator during search. This paper asks a different question: Can binary quantization define the graph topology itself -- and if so, under what conditions? We study this question through QuIVer (Quantized Index for Vector Retrieval), a training-free ANN graph index that performs Vamana edge selection, diversity pruning, and beam-search navigation entirely within a 2-bit Sign-Magnitude BQ metric space, accessing float32 vectors only for final reranking. Systematic evaluation on twelve million-scale datasets reveals a sharp applicability boundary: BQ-native topology is highly effective on cosine-native contrastive-learning embeddings (>=88% Recall@10 at ef=64 across five datasets, 384--3072 dimensions), moderately effective on multimodal CLIP data (71--78%), and empirically unsuitable for Euclidean-native or structureless distributions (<15%). Our results suggest an empirical "impossible triangle" between aggressive compression, high throughput, and universal data compatibility. The central contribution is not merely the system, but the boundary it reveals: falsifiable criteria for when industrial vector search systems can safely trade metric fidelity for compact BQ-native navigation. On compatible workloads, the system benefits are substantial: QuIVer's BQ-native hot path (<1.3 GB for 1M vectors) yields 2.5--5.5x higher multi-threaded throughput than DiskANN Rust and HNSW variants at matched recall, with 4.7x less hot memory and no codebook or rotation training (unlike PQ/OPQ/RaBitQ).