GOÄ no. 2431: Incision of a carbuncle, incl. excision

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

Section L – Surgery, orthopaedics · Category: Cryotherapy, drainage & abscesses

Official German wording: „Eröffnung eines Karbunkels - auch mit Exzision -“

379 points · €22.09 (1.0×) · €50.81 (2.3×, threshold) · €77.32 (3.5×, maximum)

Fees

Factor	Amount
1.0×	€22.09	single rate
2.3×	€50.81	threshold – above it a written justification (§ 12(3))
3.5×	€77.32	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. 2428 – A carbuncle is billed under no. 2431.
Nr. 2403 – Excision is included in no. 2431 (official wording).
Nr. 2404 – Excision is included in no. 2431 (official wording).
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

Opening a carbuncle; excision is included.

More items in this category

2430 – Incision of a deep abscess 2432 – Incision of a phlegmon 2429 – Incision of disseminated skin abscesses 2428 – Incision of a superficial abscess or furuncle 2066 – Incision of a palmar phlegmon 748 – Skin drainage 740 – Cryotherapy of the skin, per session

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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.