We report a CO(J = 3−2) detection of 23 molecular clouds in the extended ultraviolet (XUV) disk of the spiral galaxy M83 with the Atacama Large Millimeter/submillimeter Array. The observed 1 kpc2 region is at about 1.24 times the optical radius (R
25) of the disk, where CO(J = 2–1) was previously not detected. The detection and nondetection, as well as the level of star formation (SF) activity in the region, can be explained consistently if the clouds have the mass distribution common among Galactic clouds, such as Orion A—with star-forming dense clumps embedded in thick layers of bulk molecular gas, but in a low-metallicity regime where their outer layers are CO-deficient and CO-dark. The cloud and clump masses, estimated from CO(3−2), range from 8.2 × 102 to 2.3 × 104
M
⊙ and from 2.7 × 102 to 7.5 × 103
M
⊙, respectively. The most massive clouds appear similar to Orion A in star formation activity as well as in mass, as expected if the cloud mass structure is common. The overall low SF activity in the XUV disk could be due to the relative shortage of gas in the molecular phase. The clouds are distributed like chains up to 600 pc (or longer) in length, suggesting that the trigger of cloud formation is on large scales. The common cloud mass structure also justifies the use of high-J CO transitions to trace the total gas mass of clouds, or galaxies, even in the high-z universe. This study is the first demonstration that CO(3−2) is an efficient tracer of molecular clouds even in low-metallicity environments.