Service text
„Zuziehung eines Assistenten bei operativen belegärztlichen Leistungen oder bei ambulanter Operation durch niedergelassene Ärzte, je angefangene halbe Stunde“Not alongside — per the Gebührenverzeichnis (1)
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 62 values calling in an assistant for operative services provided under a Belegarzt arrangement, or for an ambulatory operation performed by physicians in private practice, for each commenced unit of the duration named in the text, at 150 points. That gives 8,74 € at the single rate and 20,11 € at the 2.3-fold rate. It is billed by the operating physician who calls in the assistant — not by the assistant, and not alongside Number 61 for the same assistance.
The service text of Number 62
Number 62 does not value the assistance itself, but the calling in: the operating physician's decision to bring in an assistant for an operative service. It is billed by the operating physician, not by the assistant.
The service text names two situations side by side: the operative service under a Belegarzt arrangement, and the ambulatory operation performed by physicians in private practice. Both cases stand in the same sentence, joined by „oder“ — or.
What sets it apart from Number 61 is who bills it and what is billed: Number 61 is the assisting physician's time, Number 62 is the operating physician's calling in of that assistant. For the same assistance, the two numbers do not stand side by side — where Number 62 is billed, the assisting physician cannot bill Number 61 alongside it.
Unlike Number 61, the service text of Number 62 names no restriction excluding physicians called in for an anaesthetic, and no condition about the assistant's entitlement to bill privately. Those conditions stand only at Number 61.
The sentences below stand exactly like this in the Gebührenverzeichnis — one directly under Number 62, two Allgemeine Bestimmungen of Abschnitt B, and one under Number 435. They are quoted here in German, word for word rather than summarized, because the German wording is what is legally binding. The English text after each dash is a working translation, not a substitute for the statutory wording.
- „Wird die Leistung nach Nummer 62 berechnet, kann der assistierende Arzt die Leistung nach Nummer 61 nicht berechnen.“ — Where the service under Number 62 is billed, the assisting physician cannot bill the service under Number 61.
- „Als Behandlungsfall gilt für die Behandlung derselben Erkrankung der Zeitraum eines Monats nach der jeweils ersten Inanspruchnahme des Arztes.“ — For treatment of the same illness, the treatment case is the period of one month after the patient's first attendance.
- „Terminvereinbarungen sind nicht berechnungsfähig.“ — Appointment scheduling is not billable.
- „Neben der Leistung nach Nummer 435 sind für die Dauer der stationären intensivmedizinischen Überwachung und Behandlung Leistungen nach den Abschnitten C III und M sowie die Leistungen nach den Nummern 1 bis 56, 61 bis 96, 200 bis 211, 247, 250 bis 268, 270 bis 286a, 288 bis 298, 401 bis 424, 427 bis 433, 483 bis 485, 488 bis 490, 500, 501, 505, 600 bis 609, 634 bis 648, 650 bis 657, 659 bis 661, 665 bis 672, 1529 bis 1532, 1728 bis 1733 und 3055 nicht berechnungsfähig. Diese Leistungen dürfen auch nicht anstelle der Leistung nach Nummer 435 berechnet werden.“ — Alongside the service under Number 435, for the duration of inpatient intensive-care monitoring and treatment, services under Abschnitte C III and M, and services under Numbers 1 to 56, 61 to 96, 200 to 211, 247, 250 to 268, 270 to 286a, 288 to 298, 401 to 424, 427 to 433, 483 to 485, 488 to 490, 500, 501, 505, 600 to 609, 634 to 648, 650 to 657, 659 to 661, 665 to 672, 1529 to 1532, 1728 to 1733 and 3055 are not billable. These services may also not be billed in place of the service under Number 435.
The multiplier for Number 62
Number 62 stands in Abschnitt B, so it falls within the ordinary fee range: from the single rate up to the 3.5-fold rate, with the 2.3-fold rate as the span within which, under § 5 Abs. 2 Satz 4 GOÄ, a fee is as a rule assessed.
For this number, § 5 Abs. 2 Satz 3 GOÄ is the sentence that limits any increase: criteria for assessment already accounted for in the service description are left out of consideration. The duration unit named in the text is part of the service text itself and already reflected in the point count — it does not by itself carry an increase.
Above the 2.3-fold rate, § 12 Abs. 3 GOÄ applies: written, tied to the particular service, comprehensible and traceable for the person liable to pay, and to be explained further on request.
What the record has to carry for Number 62
The record carries how many times the duration unit named in the text was commenced, and at what times the assistant was called in. Without that entry, the point count can no longer be traced later, because the number is billed for each commenced unit.
It also belongs there which assistant was called in for which operative service — the assistant's name and the service they assisted at. That ties the calling in to the particular operation.
Because Number 61 and Number 62 do not stand side by side for the same assistance, the operating physician's record and the assistant's invoice must not both claim the same time. § 630f BGB in any case requires the essential measures and their results in immediate temporal connection with the treatment.
Frequently asked questions
What is the difference between Number 62 and Number 61?
Who bills it, and what is billed. The operating physician bills Number 62 for calling in an assistant to an operative service provided under a Belegarzt arrangement or as an ambulatory operation; the assisting physician bills Number 61 for their own time. For the same assistance, the two do not stand side by side.
Alongside which services may Number 62 be billed?
The provision under Number 62 itself names no exclusion alongside other services — it only excludes the assisting physician from additionally billing Number 61 for the same assistance. Beyond that, the Allgemeine Bestimmungen of Abschnitt B apply, for instance that appointment scheduling is not billable.
What does Number 62 cost?
150 points times the point value of 5,82873 Cent give a single standard fee of 8,74 €. The 2.3-fold rate is 20,11 €, the 3.5-fold rate 30,60 €.