I have asked the AAPC for their opinion on this and was told they can not give me an answer. Is it ethical to bill for a procedure without the operative note? My boss is telling me that the doctor takes all liability b/c they are coding the services while I am just entering the charge to the software to be submitted to the insurance carrier. I want to hold up the billing so I can verify what the doctor bills. The boss says no, bill it via the codes given per MD w/o op note. I feel that is against our ethical code as CPC's. But she wants documentation or she will force me to bill or she will terminate my job. If anyone has any info, it would be helpful. I tried to look for what is required to bill but can not find a straight answer.