Well using a DEXA scan is different from other body composition estimations in that it is a measurement rather than a calculation.
a 5% variation in fat-free mass hydration can change your DEXA-determined body fat percentage by nearly 3%
A number of studies have compared DEXA to 4-compartment models. When looking at group averages, DEXA does pretty well, with errors of 1-2%. However, like with all other body fat testing techniques, individual error rates can be much higher. The error rates vary by what study you look at and which DEXA machine was used; error rates range from 4% in one study to up to 8-10% in another study. Also, the accuracy of DEXA can be affected by sex, size, fatness, and disease state of subjects.