Overseas tourists claimed $1 million from ACC in the last financial year, but it was all to protect New Zealanders, the organisation says.
Of the 1.6 million claims lodged in the 2009-10 financial year, 3600 were from tourists who injured themselves while visiting the country.
The majority of those claims were lodged by tourists in Otago - 2145 - 1520 of which were related to skiing and snowboarding accidents.
The cost of treatment and support for tourists' claims was about $1 million, out of the $3.8 billion spent on all claims.
ACC claims are funded separately from care requiring a hospital stay, which is controlled by the Ministry of Health through an annual ACC payment.
Ambulance costs, including helicopters, is also controlled separately by the National Ambulance Sector Office, which receives funding from ACC and the ministry.
National manager of rehabilitation services Mike Tully said, because ACC was a no-fault scheme, tourists were unable to sue a person or business for causing them injury.
"If they were allowed to sue, the cost to New Zealand would be significantly more than what ACC pay to cover their treatment," he said.
Many small businesses benefit from the design of the scheme, including adventure tourism businesses and other tourism ventures in Otago.
"New Zealand's not being unfairly burdened by paying ACC to visitors," Mr Tully said.
Tourists often make contributions to the scheme if they buy things like petrol, which is levied to fund the cost of road-related injuries.
The majority of overseas visitors also generally only required a single visit to a doctor or hospital emergency department, and ACC only covered medical costs for treatment they received while they were in New Zealand, he said.
ACC is not a replacement for travel insurance as once an injured tourists goes home, they have to pay for any ongoing treatment they receive in their own country.
New Zealand has reciprocal arrangements with the United Kingdom and Australia.
NZSki chief executive officer James Coddington believed ACC covering tourists for injuries was "certainly a benefit".
"It's a good thing to be able to look after tourists that come to our country."
While he was not aware of it being exploited by tourists, he did not believe many knew they were covered by it, and most had personal travel insurance.
