GOÄ no. 2004: Care of a large wound with suture

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

Section L – Surgery, orthopaedics · Category: Wound care, biopsy, excision, flaps

Official German wording: „Versorgung einer großen Wunde einschließlich Naht“

240 points · €13.99 (1.0×) · €32.17 (2.3×, threshold) · €48.96 (3.5×, maximum)

Fees

Factor	Amount
1.0×	€13.99	single rate
2.3×	€32.17	threshold – above it a written justification (§ 12(3))
3.5×	€48.96	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.

Exclusions and rules

Nr. 2006 – The same fresh wound: wound care under no. 2000–2005; no. 2006 applies to wounds that do not heal primarily.
For fresh injuries. Closing the wound after an excision of your own is part of the operation, not wound care under no. 2000–2005. No. 2033 cannot be billed with no. 2000–2005 if the nail extraction is part of the wound care (official provision).
Wound dressings under no. 200 linked to surgery (incl. cautery, foreign-body removal), puncture, infusion, transfusion or injection are part of that service (section C, general provisions).
Individual steps that are methodically necessary parts of the target service named in the description cannot be billed separately (section L, general provisions).

Typical occasions in dermatology

Suturing a fresh large injury. The official schedule does not define “large” in centimetres; justify it individually.

More items in this category

2003 – Primary care of a large and/or heavily contamina 2005 – Large and/or heavily contaminated wound with deb 2002 – Care of a small wound with debridement of edges 2006 – Treatment of a wound not healing primarily 2001 – Care of a small wound with suture 2007 – Removal of sutures or staples 2000 – Primary care of a small wound 2008 – Incision of a wound or fistula

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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: 12/10/2026.