DMEPOS provided to Medicare beneficiaries living outside of the U.S. and delivered while the beneficiary was in the U.S. and delivered to a U.S. address. EX was developed to allow suppliers to bill Medicare for purchased only DMEPOS items that are furnished to expatriate beneficiaries.

Correct Use

• Suppliers must submit expatriate claims with the EX modifier on all claim lines
  • Suppliers shall submit claims for processing to the appropriate DME MAC based on supplier locality
• Purchased DMEPOS with date of service on/after July 1, 2016

Excluded Items/Services

• Oxygen Equipment and Supplies
• Parenteral/Enteral Nutrition Equipment and Supplies
• Rentals - Capped or Inexpensive, Routinely Purchased (IRP)

Resources

• CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, Chapter 20, Section 30.9.1