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A hair transplant company asks whether its services for cicatricial or androgenetic alopecia are exempt from VAT. The DGT responds that exemption depends on whether the service has a therapeutic purpose to treat a disease or is purely aesthetic.
Cuestión planteada Si a los servicios de trasplante capilar para el tratamiento de la alopecia cicatricial o androgénica que va a prestar la consultante les resultaría de aplicación la exención prevista en el artículo 20.Uno.3.º de la Ley 37/1992.
La exención de asistencia sanitaria requiere que los servicios sean prestados por profesionales médicos o sanitarios y tengan como objeto el diagnóstico, prevención o tratamiento de enfermedades. Los tratamientos de alopecia realizados con fines puramente estéticos, con independencia de que los preste un profesional médico, están sujetos al tipo general del 21%. La determinación de si un tratamiento tiene finalidad médica o estética es una cuestión de hecho que debe probarse en cada caso.
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