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An association of osteopaths has enquired whether their services are exempt from VAT. The DGT indicates that exemption requires services to constitute healthcare (diagnosis, prevention, or treatment of diseases) and for the provider to hold the required professional qualifications, even if the profession is not regulated in Spain.
Cuestión planteada Si dichas prestaciones de servicios se encuentran exentas 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 el TJUE, la exención no se limita solo a profesiones reguladas por la normativa nacional, siempre que se garantice un nivel de calidad suficiente. En el caso de la osteopatía, si el profesional cuenta con una titulación y cualificación equivalente a los estándares europeos (como la norma UNE-EN 16686:2015), podría aplicarse la exención siempre que el servicio sea para tratar, prevenir o diagnosticar enfermedades.
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