GOÄ no. 2381: Simple skin flap

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: „Einfache Hautlappenplastik“

370 points · €21.57 (1.0×) · €49.60 (2.3×, threshold) · €75.48 (3.5×, maximum)

Fees

Factor	Amount
1.0×	€21.57	single rate
2.3×	€49.60	threshold – above it a written justification (§ 12(3))
3.5×	€75.48	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. 2382 – The same defect is billed with one repair only.
Nr. 2383 – The same defect is billed with one repair only.
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

Closing a defect with a simple skin flap, e.g. after removal of a skin tumour.

More items in this category

2065 – Debridement of extensive necrosis, hand or foot 2382 – Complex flap or split-skin graft 2033 – Extraction of a finger- or toenail 2383 – Full-thickness skin graft 2030 – Incision of a felon or paronychia 2400 – Opening a superficial body-canal obstruction 2008 – Incision of a wound or fistula 2401 – Biopsy of superficial tissue

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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.