GOÄ no. A: Surcharge outside consulting hours
Official German wording: „Zuschlag für außerhalb der Sprechstunde erbrachte Leistungen“
70 points · €4.08 – single rate only
Official provisions (German)
- „Der Zuschlag nach Buchstabe A ist neben den Zuschlägen nach den Buchstaben B, C und/oder D nicht berechnungsfähig.“
- „Der Zuschlag nach Buchstabe A ist für Krankenhausärzte nicht berechnungsfähig.“
Exclusions and rules
- Nr. B – official provision
- Nr. C – official provision
- Nr. D – official provision
- Only alongside no. 1, 3, 4, 5, 6, 7 or 8.
- Surcharges A to D and K1 belong to consultations and examinations under no. 1, 3, 4, 5, 6, 7 or 8, are billable only at the single rate and only once per visit (section B II, general provisions).
Typical occasions in dermatology
Surcharge to a consultation or examination (no. 1, 3–8) outside consulting hours; single rate, not with B, C or D.
More items in this category
445 – Outpatient surgery surcharge (≥ 1,200 points)B – Surcharge 8–10 pm or 6–8 am444 – Outpatient surgery surcharge (800–1,199 points)C – Surcharge 10 pm–6 am443 – Outpatient surgery surcharge (500–799 points)D – Surcharge Saturday, Sunday, public holiday442 – Outpatient surgery surcharge (250–499 points)K1 – Surcharge for children up to their 4th birthday
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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.