How the DGT's position has evolved
Current position
To apply the 0% rate, the product must simultaneously meet two requirements: it must be classified under the codes of the Combined Nomenclature in the Annex and match the description of the good set out therein. The recipient must be a Public Law entity, a clinic or hospital center (centers with an inpatient regime that carry out research or teaching), or a private entity of a social nature.
The DGT's position remains constant in requiring both objective requirements (CN code and description) and subjective requirements (type of recipient). It has been reiterated that the concept of a clinic or hospital center is limited to centers with an inpatient regime that carry out research or teaching, excluding outpatient care centers.
Turning points
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Establishes the need to simultaneously meet two requirements: classification under the Combined Nomenclature code and matching the description in the Annex.
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Specifies that the concept of a clinic or hospital center requires inpatient care and the practice of medical research or teaching.
Analysis based on 9 of 9 rulings with a stated position. Updated 30 September 2026.