GOÄ no. 209: Large-area application of topicals

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

Section C – Special services not tied to a specialty · Category: Dressings & topical application

Official German wording: „Großflächiges Auftragen von Externa (z.B. Salben, Cremes, Puder, Lotionen, Lösungen) zur Behandlung von Hautkrankheiten mindestens einer Körperregion (Extremität, Kopf, Brust, Bauch, Rücken), je Sitzung“

150 points · €8.74 (1.0×) · €20.11 (2.3×, threshold) · €30.60 (3.5×, maximum)

Fees

FactorAmount
1.0×€8.74single rate
2.3×€20.11threshold – above it a written justification (§ 12(3))
3.5×€30.60maximum

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.

Typical occasions in dermatology

Applying ointments, creams, lotions or solutions to at least one whole body region in the practice, e.g. in extensive psoriasis or eczema.

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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.