Facts
Tools
Availability allowance criteria
Availability allowance criteria: a free tool by MediPulse. Calculate the GP availability allowance (Vorhaltepauschale) under EBM 03040.
Master data
| Type | Free tool |
|---|---|
| Topic area | Revenue & billing |
| Page | /en/tools/availability-allowance-calculator |
| Delivery | Web, in the browser, no installation |
| Inputs | Number of cases, number of physicians, quarter, number of vaccinations and criteria met |
| Result | Points, euros per case and projection to the quarter and the year |
| Basis | Resolution of the Valuation Committee (Bewertungsausschuss) on GOP 03040, valid from Q1/2026 |
| Access | Free; the analysis is unlocked with contact details and is available on screen and as a PDF |
Individual statements
- The GP availability allowance (Vorhaltepauschale) under EBM no. 03040 from 2026 is calculated.
- Case-number adjustment, surcharges and the vaccination malus are taken into account.
- The basis is 128 points per case; practices with more than 1,200 treatment cases per physician and quarter receive a 9-point surcharge, practices with fewer than 400 cases a 13-point deduction.
- The calculator breaks down the base value, case-number adjustment, vaccination deduction and surcharge level individually.
Relationships
| Availability allowance criteria | IS_PART_OF | MediPulse Tools |
Sources
The information on this page is covered in detail on:
Last reviewed on October 10, 2026. May be quoted in full or in part, citing the source medipulse.de.