GOÄ items for dermatology
The GOÄ items most common in everyday dermatology with official wording, points and fees. Analogous valuations are marked as such. For suggestions from a description of services use the GOÄ billing helper.
Please note: Non-binding, automatically generated suggestions based on the official German fee schedule GOÄ (GOÄ as promulgated on 9 February 1996 (BGBl. I p. 210), last amended by Art. 3b of the Act of 19 July 2023 (BGBl. 2023 I No. 197)). They do not replace your own review; responsibility for selecting items, choosing the factor and writing the justification lies with the billing physician. No legal or billing advice. Your text is processed only in your browser and is neither transmitted nor stored. Please do not enter names or dates of birth.
Counselling & discussion
- 1Consultation €10.72 (2.3×)
- 3Extended consultation (≥ 10 min) €20.11 (2.3×)
- 4History from third parties / instructing carers €29.49 (2.3×)
- 15Initiating/coordinating care for chronic illness €40.22 (2.3×)
- 34Discussion (≥ 20 min) of a serious illness €40.22 (2.3×)
Examination
- 5Symptom-related examination €10.72 (2.3×)
- 7Complete examination of the whole skin €21.45 (2.3×)
- 303Puncture (gland, ganglion, seroma, haematoma, abscess) €10.72 (2.3×)
- 3529Pregnancy test €10.05 (1.15×)
Dressings & topical application
- 200Dressing €6.03 (2.3×)
- 204Compression / circular bandage €12.74 (2.3×)
- 209Large-area application of topicals €20.11 (2.3×)
Injection, infusion, infiltration, anaesthesia
- 252Injection s.c., i.c., submucosal or i.m. €5.36 (2.3×)
- 253Intravenous injection €9.38 (2.3×)
- 267Therapeutic infiltration €10.72 (2.3×)
- 270Subcutaneous infusion €10.72 (2.3×)
- 271IV infusion up to 30 minutes €16.09 (2.3×)
- 272IV infusion over 30 minutes €24.13 (2.3×)
- 284Autologous blood injection incl. sampling €12.07 (2.3×)
- 290Infiltration of sclerosing agents €16.09 (2.3×)
- 490Local infiltration anaesthesia, small area €8.18 (2.3×)
- 491Local infiltration anaesthesia, large area €16.22 (2.3×)
Dermoscopy
- 612 analogousVideo dermoscopy (analogous to no. 612) €79.42 (1.8×)
- 750Dermoscopy, per session €16.09 (2.3×)
Wound care, biopsy, excision, flaps
- 2006Treatment of a wound not healing primarily €8.45 (2.3×)
- 2007Removal of sutures or staples €5.36 (2.3×)
- 2008Incision of a wound or fistula €12.07 (2.3×)
- 2030Incision of a felon or paronychia €17.43 (2.3×)
- 2033Extraction of a finger- or toenail €7.64 (2.3×)
- 2065Debridement of extensive necrosis, hand or foot €33.52 (2.3×)
- 2381Simple skin flap €49.60 (2.3×)
- 2382Complex flap or split-skin graft €99.07 (2.3×)
- 2383Full-thickness skin graft €134.06 (2.3×)
- 2400Opening a superficial body-canal obstruction €14.88 (2.3×)
- 2401Biopsy of superficial tissue €17.83 (2.3×)
- 2402Biopsy of deep tissue €49.60 (2.3×)
- 2403Excision of a small tumour €17.83 (2.3×)
- 2404Excision of a larger tumour €74.27 (2.3×)
- 2407Excision with regional lymph clearance €309.68 (2.3×)
- 2440Surgical removal of a port-wine stain €107.25 (2.3×)
- 2441Revision of a disfiguring facial scar €53.62 (2.3×)
- 2442Implantation of alloplastic material (stand-alone) €120.65 (2.3×)
Special dermatological procedures
- 250Venous blood sampling €4.20 (1.8×)
- 297Smear for cytology €6.03 (2.3×)
- 298Swab for microbiology €5.36 (2.3×)
- 741Cauterisation with hot air or steam €10.19 (2.3×)
- 742Facial electro-epilation in endocrine disease €22.12 (2.3×)
- 743Grinding, abrading or milling skin or nails €10.05 (2.3×)
- 744Punching of the skin €10.72 (2.3×)
- 745Curettage (granulation tissue, up to three warts) €6.17 (2.3×)
- 746Electrolysis or cautery (stand-alone) €6.17 (2.3×)
- 747Cupping, leeches, suction devices €5.90 (2.3×)
- 752Sweat electrolyte measurement €20.11 (2.3×)
- 755High-speed dermabrasion €32.17 (2.3×)
- 756Chemosurgical treatment of genital warts €16.22 (2.3×)
- 757Chemosurgical treatment of a precancerous lesion €20.11 (2.3×)
- 758Acne extraction, per session €10.05 (2.3×)
- 759Alkali neutralisation time €7.97 (1.8×)
- 760Alkali resistance (drop method) €12.69 (1.8×)
- 762Lymphoedema reduction with rubber tubing €17.43 (2.3×)
- 763Incision of superficial veins / thrombus expression €19.84 (2.3×)
- 764Sclerotherapy of varicose veins or haemorrhoids €25.47 (2.3×)
- 2440 analogousLaser treatment up to 7 cm² (analogous to no. 2440) €107.25 (2.3×)
- 2885 analogousLaser treatment 7–21 cm² (analogous to no. 2885) €148.81 (2.3×)
- 2886 analogousLaser treatment over 21 cm² (analogous to no. 2886) €371.35 (2.3×)
Mycology & pathogen detection
- 4531Bacterial culture at special temperature, per medium €6.70 (1.15×)
- 4710Fungal microscopy, unstained native material €5.36 (1.15×)
- 4711Fungal microscopy after preparation or staining €8.04 (1.15×)
- 4715Fungal culture on simple medium €6.70 (1.15×)
- 4716Fungal culture on enriched medium €8.04 (1.15×)
- 4717Fungal culture on differentiation media €8.04 (1.15×)
- 4722Identification of cultured fungi €8.04 (1.15×)
- 4780Nucleic acid isolation €60.33 (1.15×)
- 4783PCR (nucleic acid amplification) €33.52 (1.15×)
- 4785Nucleic acid identification, per probe €20.11 (1.15×)
Cryotherapy, drainage & abscesses
- 740Cryotherapy of the skin, per session €9.52 (2.3×)
- 748Skin drainage €10.19 (2.3×)
- 2066Incision of a palmar phlegmon €60.33 (2.3×)
- 2428Incision of a superficial abscess or furuncle €10.72 (2.3×)
- 2429Incision of disseminated skin abscesses €29.49 (2.3×)
- 2430Incision of a deep abscess €40.62 (2.3×)
- 2431Incision of a carbuncle, incl. excision €50.81 (2.3×)
- 2432Incision of a phlegmon €63.41 (2.3×)
Certificates, reports & consultation
- 2Repeat prescription, referral, results without consultation €3.15 (1.8×)
- 60Consultation between physicians €16.09 (2.3×)
- 70Short certificate, sick note €5.36 (2.3×)
- 75Detailed medical report €17.43 (2.3×)
- 78Chemotherapy plan / tumour follow-up plan €24.13 (2.3×)
- 80Written expert opinion €40.22 (2.3×)
- 85Expert opinion with extra effort, per hour started €67.03 (2.3×)
- 95Typing fee per A4 page started €3.50 (1.0×)
- 96Copying fee per copy €0.17 (1.0×)
Allergy testing
- 263Subcutaneous allergen immunotherapy, per session €12.07 (2.3×)
- 380Patch test, tests 1–30 €4.02 (2.3×)
- 381Patch test, tests 31–50 €2.68 (2.3×)
- 382Patch test, tests 51–100 €2.01 (2.3×)
- 385Prick test, tests 1–20 €6.03 (2.3×)
- 386Prick test, tests 21–40 €4.02 (2.3×)
- 387Prick test, tests 41–80 €2.68 (2.3×)
- 388Rub, scratch or scarification test, up to 10 €4.69 (2.3×)
- 389Rub, scratch or scarification test, each further €3.35 (2.3×)
- 390Intradermal test, tests 1–20 €8.04 (2.3×)
- 391Intradermal test, each further €5.36 (2.3×)
- 393Bilateral nasal or conjunctival provocation test €13.41 (2.3×)
- 395Nasal provocation test with instrumental recording €37.54 (2.3×)
- 3890Specific IgE, allergen mix (up to 4), per mix €16.76 (1.15×)
- 3891Specific IgE, single allergen (up to 10), per allergen €16.76 (1.15×)
- 3892Specific IgE on a carrier, per carrier €13.41 (1.15×)
Light & photodynamic procedures
- 560Ultraviolet light treatment, per session €3.25 (1.8×)
- 561UV stimulation of one circumscribed area €3.25 (1.8×)
- 562UV stimulation of several circumscribed areas €4.83 (1.8×)
- 563Quartz lamp pressure irradiation, one field €4.83 (1.8×)
- 564Quartz lamp pressure irradiation, several fields €9.55 (1.8×)
- 565Photochemotherapy, per session €12.59 (1.8×)
- 566 analogousPhotodynamic irradiation (analogous to no. 566) €52.46 (1.8×)
- 567Phototherapy with selective UV spectrum, per session €9.55 (1.8×)
- 569Photopatch test, per test (up to 3 per session) €3.15 (1.8×)
- 761UV erythema threshold incl. reading €7.97 (1.8×)
- 5800 analogousPDT treatment plan (analogous to no. 5800) €26.23 (1.8×)
- 5802 analogousPDT: two further fields (analogous to no. 5802) €20.98 (1.8×)
Surcharges
- 401Duplex surcharge to ultrasound (no. 410–418) €53.62 (2.3×)
- 441Laser surcharge for outpatient surgery amount depends on main item
- 442Outpatient surgery surcharge (250–499 points) €23.31 (1.0×)
- 443Outpatient surgery surcharge (500–799 points) €43.72 (1.0×)
- 444Outpatient surgery surcharge (800–1,199 points) €75.77 (1.0×)
- 445Outpatient surgery surcharge (≥ 1,200 points) €128.23 (1.0×)
- ASurcharge outside consulting hours €4.08 (1.0×)
- BSurcharge 8–10 pm or 6–8 am €10.49 (1.0×)
- CSurcharge 10 pm–6 am €18.65 (1.0×)
- DSurcharge Saturday, Sunday, public holiday €12.82 (1.0×)
- K1Surcharge for children up to their 4th birthday €6.99 (1.0×)
Physical therapy
- 523Extramuscular massage, manual lymph drainage €6.82 (1.8×)
- 530Cold or hot pack, hot roll, per session €3.67 (1.8×)
- 535Hot-air treatment of one body part €3.46 (1.8×)
Phlebology & proctology
- 765Surgical removal of anal skin tags €37.54 (2.3×)
- 766Haemorrhoid ligation incl. proctoscopy €30.16 (2.3×)
- 768Chemical cautery in the anorectal area (stand-alone) €6.70 (2.3×)
- 2880Incision of a varicose node €19.84 (2.3×)
- 2881Varicose vein avulsion, one side €148.81 (2.3×)
- 2882Varicose vein avulsion with perforator ligation, one side €248.01 (2.3×)
- 2883Crossectomy with side-branch removal €160.87 (2.3×)
Applies to private medical services under the GOÄ; not to statutory health insurance (EBM). New GOÄ: the German Medical Association considers entry into force on 1 January 2028 realistic. Official wording and points: gesetze-im-internet.de; amounts = points × €0.0582873 × factor (§ 5(1) GOÄ). Data checked: 09/10/2026.