GOÄ 15B I — Allgemeine Beratungen und Untersuchungen300 points

GOÄ number 15: coordinating care for chronically ill patients

Fee

40,22 €300 points × 5,82873 Cent × 2,3

The point count stands as printed in the Gebührenverzeichnis (fee schedule); the point value comes from § 5 Abs. 1 Satz 3 GOÄ. The amounts are calculated from these and rounded to the cent, as § 5 Abs. 1 Satz 4 requires. Which multiplier is appropriate in an individual case is set by § 5 Abs. 2 according to difficulty, time required and the circumstances of performance — the practice decides that, not this table.

Service text

„Einleitung und Koordination flankierender therapeutischer und sozialer Maßnahmen während der kontinuierlichen ambulanten Betreuung eines chronisch Kranken“

Not alongside — per the Gebührenverzeichnis (4)

Numbers the fee schedule names together with this one in an exclusion sentence. Open a chip for the wording, in German, and where it stands; about a particular case the sentence says only what it says.

Number 15 does not value a conversation or an examination, but the initiation and coordination of flanking therapeutic and social measures during the continuous outpatient care of a chronically ill patient. 300 points give 17,49 € at the base rate and 40,22 € at 2.3× — billable once per calendar year.

GOÄ number 15 in the regulation's own words

The wording describes an activity that rarely shows itself in the consulting room: something is initiated and coordinated that runs alongside the treatment itself — therapeutic and social measures the regulation calls “flanking.”

Two conditions stand in the wording itself. The care must be continuous and outpatient, and the person cared for must be chronically ill. Neither is a question of effort on a single day — both are a question of the course of treatment over time.

The limit of once per calendar year fits that logic: the number does not value a recurring process, but the initiation of a structure that then carries the care forward.

The multiplier (Steigerungssatz) for number 15

Section B: from the base multiplier up to 3.5×, with the usual range running up to 2.3×.

§ 5 Abs. 2 expressly allows the difficulty of the medical case as an assessment criterion. For a service that presupposes a chronic illness, that is the heart of the matter — and at the same time the point where § 5 Abs. 2 Satz 3 pushes back: what is already stated in the service description does not count again.

Above the 2.3× multiplier, the duty to justify under § 12 Abs. 3 GOÄ applies.

What the record must contain for number 15

A service that may be billed only once per calendar year must still be findable a year later. That is a requirement on the record, not on memory: when it was initiated, what was initiated, and who it was coordinated with.

Because this is about flanking measures, the content often arises outside the consulting room — in a phone call with the care service, in coordination with a social work office, in a letter to the hospital. These events make it into the record only if someone writes them in.

§ 630f BGB requires all professionally essential measures and their results to be recorded. A measure that has been initiated is still a measure, even when someone else carries it out.

Frequently asked questions

How often may number 15 be billed?

The general provision is clear: only once per calendar year. That is stricter than the usual limit of once per treatment case.

May number 4 be billed alongside number 15?

No. Alongside number 15, number 4 may not be billed within the same treatment case; the provision appears under both number 4 and number 15.

What does number 15 cost?

300 points give 17,49 € at the base rate, 40,22 € at 2.3× and 61,20 € at 3.5×.