GOÄ no. 15: Initiating/coordinating care for chronic illness

By Dr. Pascal Bafteh, board-certified dermatologist and internist · Updated 10/2026

Section B – Basic and general services · Category: Counselling & discussion

Official German wording: „Einleitung und Koordination flankierender therapeutischer und sozialer Maßnahmen während der kontinuierlichen ambulanten Betreuung eines chronisch Kranken“

300 points · €17.49 (1.0×) · €40.22 (2.3×, threshold) · €61.20 (3.5×, maximum)

Fees

Factor	Amount
1.0×	€17.49	single rate
2.3×	€40.22	threshold – above it a written justification (§ 12(3))
3.5×	€61.20	maximum

Personal medical service: range 1.0 to 3.5, threshold 2.3 (§ 5(2) GOÄ). A factor above the threshold is only allowed for particular circumstances of the individual case (difficulty, time, circumstances) and must be justified in writing.

Official provisions (German)

„Die Leistung nach Nummer 15 darf nur einmal im Kalenderjahr berechnet werden.“
„Neben der Leistung nach Nummer 15 ist die Leistung nach Nummer 4 im Behandlungsfall nicht berechnungsfähig.“

Exclusions and rules

Nr. 4 – official provision (per treatment case)
Nr. 34 – official provision

Typical occasions in dermatology

Initiating and coordinating accompanying therapeutic and social measures for a chronic skin disease under continuous care; at most once per calendar year.

More items in this category

4 – History from third parties / instructing carers 34 – Discussion (≥ 20 min) of a serious illness 3 – Extended consultation (≥ 10 min)1 – Consultation

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Source: German fee schedule for physicians (GOÄ), schedule of fees – gesetze-im-internet.de.

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.