GOÄ no. 744: Punching of the skin

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: „Stanzen der Haut, je Sitzung“

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.

Typical occasions in dermatology

Punching out skin areas as treatment, e.g. individual depressed scars, per session. A punch for histology counts as a biopsy.

More items in this category

743 – Grinding, abrading or milling skin or nails 745 – Curettage (granulation tissue, up to three warts 742 – Facial electro-epilation in endocrine disease 746 – Electrolysis or cautery (stand-alone)741 – Cauterisation with hot air or steam 747 – Cupping, leeches, suction devices 298 – Swab for microbiology 752 – Sweat electrolyte measurement

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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.