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Background <p>The provision of ultrasound examination services in both outpatient and inpatient settings is regulated by the uniform assessment standard (EBM), the medical remuneration regulation (GOÄ), and the ultrasound agreement, with clear distinctions between billing, quality and liability aspects.</p> Aim <p>The aim of this article is to provide a&#xa0;practice-oriented summary of current regulations governing vascular ultrasound examinations in outpatient and hospital settings.</p> Background <p>The billing and quality assurance for vascular ultrasound examinations are defined in the EBM, the GOÄ and the ultrasound agreement, which outline reimbursement, technical and professional requirements and documentation standards that are relevant for both billing and legal responsibility. The EBM is the uniform fee for service schedule governing reimbursement of outpatient physician services under Germany’s statutory health insurance (GKV). The GOÄ serves as the regulatory fee schedule for billing privately insured patients or self-payers in Germany. This article discusses these aspects in detail to offer readers greater clarity regarding this complex topic. The new GOÄ is expected to come into force no earlier than the beginning of 2028.</p>

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Medizinische und abrechnungsrelevante Aspekte in der Duplexsonographie (ambulant und stationär)

  • 期刊论文

  • 发表日期：

    2026年4月21日

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  • Pavlos Tsantilas,
  • Siegfried Krishnabhakdi

摘要

Background

The provision of ultrasound examination services in both outpatient and inpatient settings is regulated by the uniform assessment standard (EBM), the medical remuneration regulation (GOÄ), and the ultrasound agreement, with clear distinctions between billing, quality and liability aspects.

Aim

The aim of this article is to provide a practice-oriented summary of current regulations governing vascular ultrasound examinations in outpatient and hospital settings.

Background

The billing and quality assurance for vascular ultrasound examinations are defined in the EBM, the GOÄ and the ultrasound agreement, which outline reimbursement, technical and professional requirements and documentation standards that are relevant for both billing and legal responsibility. The EBM is the uniform fee for service schedule governing reimbursement of outpatient physician services under Germany’s statutory health insurance (GKV). The GOÄ serves as the regulatory fee schedule for billing privately insured patients or self-payers in Germany. This article discusses these aspects in detail to offer readers greater clarity regarding this complex topic. The new GOÄ is expected to come into force no earlier than the beginning of 2028.