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Coding Responsibility

  • Committee Opinion CO
  • Number 249
  • January 2001

Number 249

Committee on Coding and Nomenclature

Reaffirmed 2005


Physicians are responsible for accurately coding the services they provide to their patients. Likewise, insurers are obligated to process all legitimate insurance claims for covered services accurately and in a timely manner. It is inappropriate for physicians to code or for insurers to process claims incorrectly in order to enhance or reduce reimbursement. When either party engages in such a practice intentionally and repetitively, it should be considered dishonest and may be subject to civil and criminal penalties.


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