General German fee schedule for doctors

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The General German Schedule of Fees for Doctors (short form: Adgo ) was a fee schedule under private law from 1924 to 1982, on which doctors and patients could contractually agree. It was published in 1924 by the “Association of Doctors in Germany ( Hartmannbund )” and was intended to “serve as a basis for doctors for all fee claims in place of the state fee schedule”.

history

The state fee schedule in 1928 was the Prussian fee schedule for licensed doctors and dentists ( Preugo for short ) from May 15, 1896, which was valid in a new version from 1924 for the entire German Reich . In the opinion of the Hartmannbund, it “did not take sufficient account of the needs of doctors, either scientifically or materially”. Correspondingly higher fee rates were proposed in the Adgo than the Preugo provided.

Both fee schedules existed side by side until the time of the Federal Republic of Germany . The Preugo was replaced in 1965 by the new, now statutory fee schedule for doctors (GOÄ), which was based on the E-Adgo, a further development of the Adgo for the replacement insurance companies. Adgo and E-Adgo themselves continued to exist for some time, so that in 1971 four different fee scales applied to doctors: Adgo, E-Adgo, GOÄ and BMÄ (“assessment standard doctors” in health care). The last revision of the E-Adgo took place in 1978. Only on January 1, 1983, with the entry into force of the second GOÄ, which no longer permitted any other fees and fee regulations for doctors, did the Adgo lose its validity.

construction

The Adgo had five parts A to E:

  • Part A "General Provisions" contained twelve paragraphs of basic regulations on validity, home visits, night work, road tolls and allowances for expenses.
  • Part B, “Fees for General Services”, included fees for counseling, visits, letters, reports, and the inquest.
  • Part C, “Fees for Special Examinations”, included the fees for physical exams, blood tests, microscopy, endoscopy, punctures, douching, and EKG.
  • Part D "Fees for special services" contained fees for surgical, neurological-psychiatric, obstetric, gynecological, ophthalmic, ENT and urological treatments.
  • Part E, “Charges for In-Kind” covered physical treatments, baths, radiation and x-rays.

At the beginning there were a total of 634 fee items. After the revision of 1963, the E-Adgo had around 1,050 positions. Unlike the Preugo, the Adgo did not include any dental fees.

Individual evidence

  1. ↑ § 1 of the General German Schedule of Fees for Doctors of January 1, 1928. Reichsgesundheitsverlag, Berlin / Vienna 1941.
  2. ^ Introduction to Adgo from January 1, 1928. HH Nölke Verlag, Hamburg 1948.
  3. ^ A b Friedrich Nienhaus: New GOÄ - End of the private Adgo. In Deutsches Ärzteblatt, Edition B, Volume 79, Issue 48 of December 3, 1982, p. 53 f.
  4. ^ Friedrich Nienhaus: Neue GOÄ - End of the private Adgo (continuation). In Deutsches Ärzteblatt, Edition B, Volume 79, Issue 49 of December 10, 1982, p. 56.