GOÄ no. 4: History from third parties / instructing carers

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

Section B – Basic and general services · Category: Counselling & discussion

Official German wording: „Erhebung der Fremdanamnese über einen Kranken und/oder Unterweisung und Führung der Bezugsperson(en) - im Zusammenhang mit der Behandlung eines Kranken -“

220 points · €12.82 (1.0×) · €29.49 (2.3×, threshold) · €44.88 (3.5×, maximum)

Fees

Factor	Amount
1.0×	€12.82	single rate
2.3×	€29.49	threshold – above it a written justification (§ 12(3))
3.5×	€44.88	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.

Official provisions (German)

„Die Leistung nach Nummer 4 ist im Behandlungsfall nur einmal berechnungsfähig.“
„Die Leistung nach Nummer 4 ist neben den Leistungen nach den Nummern 30, 34, 801, 806, 807, 816, 817 und/oder 835 nicht berechnungsfähig.“

Exclusions and rules

Nr. 30 – official provision
Nr. 34 – official provision
Nr. 801 – official provision
Nr. 806 – official provision
Nr. 807 – official provision
Nr. 816 – official provision
Nr. 817 – official provision
Nr. 835 – official provision
Nr. 15 – official provision (per treatment case)

Typical occasions in dermatology

Obtaining information from parents, relatives or carers or instructing them in skin care and treatment – common with children with eczema or people in need of care.

More items in this category

3 – Extended consultation (≥ 10 min)15 – Initiating/coordinating care for chronic illness 1 – Consultation 34 – Discussion (≥ 20 min) of a serious illness

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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.