| Medical services | Points n | Point value cents# | Individual payment € | Frequency | Payment € | Post-hospital payment € |
| First doctor's visit (GP or paediatrician) | ||||||
| Flat rate coverage (irrespective of number of visits by patients) per quarter EBM 03111(equal to EBM 04111 for paediatrics) | 880 | 3.5048 | 30.84 | 2 (2+) (MDR patients 6 (4+)) | 61.68 (MDR patients 185.04) | 61.68 (MDR patients 123.36) |
| Pneumological diagnostics (pulmonary/intrathoracic TB) | ||||||
| Pneumological consultation (EBM 13641) | 570 | 3.5048 | 19.98 | 1 (0+) | 19.98 | |
| Pneumologist, bronchoscopy (EBM 13662) | 2795 | 3.5048 | 97.96 | 1(0+) | 97.96 | |
| Pneumologist BAL (EBM 13663, additional fee on EBM 13662) | 685 | 3.5048 | 24.01 | 1 (0+) | 24.01 | |
| For amikacin treatment in MDR-TB | ||||||
| Audiometry (EBM 09320); ENT code can also be applied | 415 | 3.5048 | 14.54 | 10 (5+) | 145.40 | 72.70 |
| Amikacin serum levels EBM 32341 | 17.70¶ | 3 (0+) | 53.1 | |||
| For ethambutol treatment in non-MDR-TB | ||||||
| Ophthalmological consultation EBM 06211 (sense of colour test can only be charged as flat per quarter ) | 515 | 3.5048 | 18.05 | 18.05 | 18.05 | |
| Laboratory services | ||||||
| Intracutaneous test as per Mendel Mantoux (EBM 02200) | 0.88¶ | 1 (0+) | 0.88 | |||
| Tuberculin 2 TU RT 23 PPD (consultation requirement) | 9.15 (see price calculation in the main text) | 1 | 9.15 | |||
| Transport fee per case (EBM 40100), per quarter | 2.60¶ | 3 (2+) (MDR-TB 6 (5+)) | 7.8 (MDR-TB 15.6) | 5.2 (MDR-TB 13) | ||
| HBsAg (EBM 32781) | 5.5¶ | 1 (0+) | 5.5 | |||
| Microscopy test for mycobacteria (EBM 32176) | 5.60¶ | 5 (1+)(1§) (1ƒ) (MDR-TB 23 (18+)) | 28.0 (MDR-TB 128.8) | 5.6 (0+) (MDR-TB 100.8) | ||
| NAAT EBM 32825 | 61.40¶ | 1(0+) | 61.40 | |||
| Culture test for mycobacteria (EBM 32747) per material | 31.7¶ | 4 (1ƒ) (3+) (MDR-TB 22 (18+)) | 126.8 (31.7##) (MDR-TB 697.4) | 95.1 (0##) (MDR-TB 570.6) | ||
| Differentiation of TB bacteria (EBM 32764) if positive | 18.9¶ | 1 (0§) | 18.9 (0§) | |||
| Resistance definition (EBM 32770) per mycobacteria type | 46¶ (9.2×5 different antibiotics tested) | 1 (0§) | 46 (0§) | |||
| Creatinine (Jaffe’s method) (EBM 32066) | 0.25¶ | 7 (5+) (MDR-TB 22 (19+)) | 1.75 (MDR-TB 5.5) | 1.25 (MDR-TB 4.75) | ||
| Urea (EBM 32065) | 0.25¶ | 7 (5+) (MDR-TB 22 (19+)) | 1.75 (MDR-TB 5.5) | 1.25 (MDR-TB 4.75) | ||
| Uric acid (EBM 32 064) | 0.25¶ | 2 (0+) (MDR-TB 20 (19+)) | 0.5 (MDR-TB 5.0) | (MDR-TB 4.75) | ||
| Blood count (EBM 32122) | 1.10¶ | 7 (5+) (MDR-TB 22 (19+)) | 7.7 (MDR-TB 24.2) | 5.5 (MDR-TB 20.9) | ||
| HIV serology (immunoassay combination test) EBM 32576 | 4.50¶ | 1(0+) | 4.50 | |||
| Anti-HBc (EBM 32641) | 5.90¶ | 1(0+) | 5.90 | |||
| Bilirubin total (EBM 32058) | 0.25¶ | 1(0+) | 0.25 | |||
| GGT (EBM 32071) | 0.25¶ | 8 (5+) (MDR-TB 22 (19+)) | 2 (MDR-TB 5.5) | 1.25 (MDR-TB 4.75) | ||
| GOT (EBM 32069) | 0.25¶ | 8 (5+) (MDR-TB 22 (19+)) | 2 (MDR-TB 5.5) | 1.25 (MDR-TB 4.75) | ||
| GPT (EBM 32070) | 0.25¶ | 8 (5+) (MDR-TB 22 (19+)) | 2 (MDR-TB 5.5) | 1.25 (MDR-TB 4.75) | ||
| Radiograph (EBM 34241; a consultation cannot be charged) | 430 | 3.5048 | 15.07¶ | 5 (3+) (1ƒ) (MDR-TB 12 (9+)) | 75.35 (15.07ƒ) (MDR-TB 180.84) | 45.21 (0ƒ) (MDR-TB 135.63) |
GP: general practitioner; EBM: uniform appraisal scale (Einheitlicher Bewertungs-Maßstab); TB: tuberculosis; BAL: bronchoalveolar lavage; MDR: multidrug resistant; ENT: ear, nose and throat; PPD: purified protein derivative; HBsAg: surface antigen of the hepatitis B virus; NAAT: nucleic acid amplification test; anti-HBc: anti-hepatitis C virus; GGT: γ-glutamyl transferase; GOT: glutamic oxaloacetic transaminase; GPT: glutamic pyruvate transaminase. #: if no fixed price is stated (¶), the average German GKV point value 2011 for all cost types was used; +: following primary hospitalisation; §: if there is noninfectious TB; ƒ: for extrathoracic patients only, one chest radiograph was performed at start of diagnostics; ##: controls omitted for noninfectious TB.