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An association of aesthetic medicine professionals has enquired whether their services are exempt from VAT. The DGT has ruled that the exemption only applies if medical assistance services are intended for the diagnosis, prevention, or treatment of illnesses, injuries, or congenital physical defects, rather than purely cosmetic purposes.
Cuestión planteada Si dichas prestaciones de servicios se encuentran exentas del Impuesto sobre el Valor Añadido.
La exención de IVA para asistencia médica requiere un requisito objetivo (servicios de diagnóstico, prevención o tratamiento de enfermedades) y uno subjetivo (prestados por profesionales médicos o sanitarios). Las intervenciones de naturaleza estética pueden estar exentas si se realizan para tratar a personas con una enfermedad, lesión o defecto físico congénito. No están exentos los servicios con fines meramente cosméticos o estéticos independientes de una actuación médica. La finalidad debe ser constatada por personal cualificado mediante criterios médicos, no bastando la percepción subjetiva del paciente.
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