GOÄ no. 765: Surgical removal of anal skin tags

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

Section F – Internal medicine, paediatrics, dermatology · Category: Phlebology & proctology

Official German wording: „Operative Entfernung hypertropher zirkumanaler Hautfalten (Marisquen)“

280 points · €16.32 (1.0×) · €37.54 (2.3×, threshold) · €57.12 (3.5×, maximum)

Fees

Factor	Amount
1.0×	€16.32	single rate
2.3×	€37.54	threshold – above it a written justification (§ 12(3))
3.5×	€57.12	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

Eligible under section C VIII: for outpatient performance a surcharge under no. 442–445 (by points) and possibly no. 440/441 may apply.

Typical occasions in dermatology

Surgical removal of enlarged skin folds around the anus.

More items in this category

766 – Haemorrhoid ligation incl. proctoscopy 768 – Chemical cautery in the anorectal area (stand-al 2880 – Incision of a varicose node 2881 – Varicose vein avulsion, one side 2882 – Varicose vein avulsion with perforator ligation,2883 – Crossectomy with side-branch removal

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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.