GOÄ no. 2382: Complex flap or split-skin graft

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: „Schwierige Hautlappenplastik oder Spalthauttransplantation“

739 points · €43.07 (1.0×) · €99.07 (2.3×, threshold) · €150.76 (3.5×, maximum)

Fees

Factor	Amount
1.0×	€43.07	single rate
2.3×	€99.07	threshold – above it a written justification (§ 12(3))
3.5×	€150.76	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. 2381 – 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

More complex flap or split-thickness skin graft, e.g. for larger facial defects.

More items in this category

2381 – Simple skin flap 2383 – Full-thickness skin graft 2065 – Debridement of extensive necrosis, hand or foot 2400 – Opening a superficial body-canal obstruction 2033 – Extraction of a finger- or toenail 2401 – Biopsy of superficial tissue 2030 – Incision of a felon or paronychia 2402 – Biopsy of deep 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.