Modifier EX

Purchased item/service delivered while an expatriate beneficiary was present in the U.S.

Correct Use

  • Suppliers must submit expatriate claims with the EX modifier on a paper CMS-1500 claim form
    • Suppliers shall submit the paper claim form for processing to the appropriate DME MAC based on supplier locality
  • Suppliers shall append modifier EX on all claim lines
  • 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)



Last Updated Fri, 19 Nov 2021 19:39:59 +0000