If you only need a background map, export a georeferenced PDF or GeoJSON and use PDFIMPORT or _MAPIMPORT in AutoCAD 2021+. It preserves scale and rotation without manual tweaking.

Geospatial File Export Autocad -

If you only need a background map, export a georeferenced PDF or GeoJSON and use PDFIMPORT or _MAPIMPORT in AutoCAD 2021+. It preserves scale and rotation without manual tweaking.