Diabetes type cannot be determine by age or insulin dependence. If the physician does not specify type then per the guidelines you default it to type 2. If the patient has been prescribed insulin then it is considered to be long-term(current) usage for the V58.67. We do not add this code to the type 1 designations only to those that are type 2 and insulin dependent.
You also need to know the difference between primary diabetes 250.xx and secondary diabetes 249.xx to be sure you are coding the patient's condition accurately.
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