GOÄ no. 442: Outpatient surgery surcharge (250–499 points)
Official German wording: „Zuschlag bei ambulanter Durchführung von operativen Leistungen, die mit Punktzahlen von 250 bis 499 Punkten bewertet sind“
400 points · €23.31 – single rate only
Exclusions and rules
- Nr. 444 – official provision
- Nr. 443 – Surcharges 442 to 445 are mutually exclusive (section C VIII).
- Nr. 445 – Surcharges 442 to 445 are mutually exclusive (section C VIII).
- Surcharges 440 to 445 apply only to the outpatient operations listed in section C VIII and only at the single rate; the service with the highest points counts, and surcharges 442 to 445 are mutually exclusive.
Typical occasions in dermatology
Surcharge for an eligible operation of 250 to 499 points performed as an outpatient; single rate.
More items in this category
441 – Laser surcharge for outpatient surgery443 – Outpatient surgery surcharge (500–799 points)401 – Duplex surcharge to ultrasound (no. 410–418)444 – Outpatient surgery surcharge (800–1,199 points)445 – Outpatient surgery surcharge (≥ 1,200 points)A – Surcharge outside consulting hoursB – Surcharge 8–10 pm or 6–8 amC – Surcharge 10 pm–6 am
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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.