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An entity providing alopecia treatments has queried whether its services are exempt from VAT. The DGT has ruled that only services for the diagnosis, prevention, or treatment of diseases are exempt, and that treatments carried out for aesthetic purposes do not qualify for such exemption.
Cuestión planteada Aplicación de la exención del art. 20.uno.3º de la Ley del Impuesto sobre el Valor Añadido.
La exención de IVA requiere que los servicios sean de asistencia médica, quirúrgica o sanitaria para el diagnóstico, prevención o tratamiento de enfermedades, prestados por profesionales médicos o sanitarios. Los servicios de cirugía o tratamientos estéticos, como los de alopecia, tributan al tipo general del 21% si se realizan con fines puramente estéticos, al margen de una actuación médica para tratar una enfermedad. Para que una intervención estética esté exenta, debe tener como finalidad tratar una enfermedad, lesión o defecto físico congénito, basándose en una constatación médica y no solo en la percepción subjetiva del paciente.
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