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)

Resources

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