GOÄ no. 5: Symptom-related examination

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

Section B – Basic and general services · Category: Examination

Official German wording: „Symptombezogene Untersuchung“

80 points · €4.66 (1.0×) · €10.72 (2.3×, threshold) · €16.32 (3.5×, maximum)

Fees

Factor	Amount
1.0×	€4.66	single rate
2.3×	€10.72	threshold – above it a written justification (§ 12(3))
3.5×	€16.32	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.

Official provisions (German)

„Die Leistung nach Nummer 5 ist neben den Leistungen nach den Nummern 6 bis 8 nicht berechnungsfähig.“

Exclusions and rules

Nr. 6 – official provision
Nr. 7 – official provision
Nr. 8 – official provision
No. 1 and no. 5 are billable only once per treatment case alongside services from sections C to O; treatment case = one month after the first visit for the same condition (section B, general provisions).

Typical occasions in dermatology

Focused examination of the affected area, e.g. a single skin lesion, a wound or a nail.

More items in this category

7 – Complete examination of the whole skin 303 – Puncture (gland, ganglion, seroma, haematoma, ab 3529 – Pregnancy test

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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.