GOÄ no. 2403: Excision of a small tumour

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: „Exzision einer in oder unter der Haut oder Schleimhaut liegenden kleinen Geschwulst“

133 points · €7.75 (1.0×) · €17.83 (2.3×, threshold) · €27.13 (3.5×, maximum)

Fees

Factor	Amount
1.0×	€7.75	single rate
2.3×	€17.83	threshold – above it a written justification (§ 12(3))
3.5×	€27.13	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. 2431 – Excision is included in no. 2431 (official wording).
Nr. 2404 – The same tumour only once – small (2403) or larger (2404). Check if different lesions.
Nr. 2407 – The same tumour only once.

Typical occasions in dermatology

Complete removal of a small tumour in or under the skin or mucosa, e.g. a mole or fibroma.

More items in this category

2402 – Biopsy of deep tissue 2404 – Excision of a larger tumour 2401 – Biopsy of superficial tissue 2407 – Excision with regional lymph clearance 2400 – Opening a superficial body-canal obstruction 2440 – Surgical removal of a port-wine stain 2383 – Full-thickness skin graft 2441 – Revision of a disfiguring facial scar

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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.