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A chiropractic professional has enquired whether their services are exempt from VAT. The DGT has determined that, although chiropractic is not a regulated healthcare profession in Spain, exemption is possible provided that healthcare assistance requirements are met and the professional holds the necessary professional qualifications.
Cuestión planteada Consulta la posible exención de las prestaciones de servicio como quiropráctico a efectos del Impuesto sobre el Valor Añadido
La exención de IVA para asistencia sanitaria requiere un requisito objetivo (servicios de diagnóstico, prevención o tratamiento de enfermedades) y uno subjetivo (prestador con cualificación profesional). Según la jurisprudencia del TJUE, la exención no se limita exclusivamente a profesiones reguladas por la normativa nacional. Si el profesional acredita las cualificaciones profesionales requeridas, como la formación en centros acreditados por el Consejo Internacional de Educación Quiropráctica, puede aplicar la exención del artículo 20.Uno.3º de la Ley 37/1992.
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