GOÄ no. 743: Grinding, abrading or milling skin or nails

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

Section F – Internal medicine, paediatrics, dermatology · Category: Special dermatological procedures

Official German wording: „Schleifen und Schmirgeln und/oder Fräsen von Bezirken der Haut oder der Nägel, je Sitzung“

75 points · €4.37 (1.0×) · €10.05 (2.3×, threshold) · €15.30 (3.5×, maximum)

Fees

Factor	Amount
1.0×	€4.37	single rate
2.3×	€10.05	threshold – above it a written justification (§ 12(3))
3.5×	€15.30	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. 755 – Same area: high-speed dermabrasion (755) instead of simple grinding (743).

Typical occasions in dermatology

Mechanical removal of hyperkeratotic skin or thickened nails, e.g. warts or nail thickening, per session.

More items in this category

742 – Facial electro-epilation in endocrine disease 744 – Punching of the skin 741 – Cauterisation with hot air or steam 745 – Curettage (granulation tissue, up to three warts 298 – Swab for microbiology 746 – Electrolysis or cautery (stand-alone)297 – Smear for cytology 747 – Cupping, leeches, suction devices

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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.