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A dermatology clinic asks whether blepharoplasties by an ophthalmologist and dermatology consultations are exempt from VAT. The DGT responds that exemption depends on whether the services have medical purposes such as diagnosis, prevention or treatment of diseases, or are purely aesthetic.
Cuestión planteada Aplicación de la exención prevista en el artículo 20.Uno.3º de la Ley 37/1992 a las blefaroplastias realizadas por el oftalmólogo y a los servicios prestados por el dermatólogo.
Las blefaroplastias estarán exentas solo si se verifica caso por caso que son asistencia sanitaria para tratar una enfermedad, lesión o defecto físico congénito. Si se realizan con fines puramente estéticos, estarán sujetas al tipo general del 21%. Los servicios dermatológicos que sirven como paso previo a un tratamiento estético, sin fin médico de diagnóstico o tratamiento, no gozan de la exención y tributan al 21%.
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