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A taxpayer queried whether hair reconstruction using hair prostheses is exempt from VAT. The DGT ruled that only medical assistance services intended for the diagnosis, prevention, or treatment of diseases are exempt, and that treatments carried out for purely aesthetic purposes must be taxed at the standard rate.
Cuestión planteada Aplicación de la exención del art. 20.uno.3º de la Ley del Impuesto sobre el Valor Añadido a la reconstrucción de alopecia con prótesis capilares personalizadas.
Los servicios de asistencia médica, quirúrgica o sanitaria para el diagnóstico, prevención o tratamiento de enfermedades están exentos de IVA si los presta un profesional médico o sanitario. No obstante, los servicios de cirugía estética o tratamientos estéticos, como los implantes o tratamientos de alopecia realizados con fines estéticos, están sujetos al tipo general del 21%. Este criterio se aplica también a la reconstrucción de alopecia con prótesis capilares personalizadas cuando se realizan al margen de una actuación médica para tratar una enfermedad.
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