GOÄ no. 2065: Debridement of extensive necrosis, hand or foot

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: „Abtragung ausgedehnter Nekrosen im Hand- oder Fußbereich, je Sitzung“

250 points · €14.57 (1.0×) · €33.52 (2.3×, threshold) · €51.00 (3.5×, maximum)

Fees

Factor	Amount
1.0×	€14.57	single rate
2.3×	€33.52	threshold – above it a written justification (§ 12(3))
3.5×	€51.00	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 – Same wound: extensive necrosis of hand/foot under no. 2065.
Eligible under section C VIII: for outpatient performance a surcharge under no. 442–445 (by points) and possibly no. 440/441 may apply.

Typical occasions in dermatology

Removal of extensive dead tissue on the hand or foot, per session.

More items in this category

2033 – Extraction of a finger- or toenail 2381 – Simple skin flap 2030 – Incision of a felon or paronychia 2382 – Complex flap or split-skin graft 2008 – Incision of a wound or fistula 2383 – Full-thickness skin graft 2007 – Removal of sutures or staples 2400 – Opening a superficial body-canal obstruction

Next

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.