Diagnosis: fracture of nasal bones / ICD-10-CM diagnosis code group S02.3XXA
History: Broken nose playing basketball. 58" tall / 94 lbs. male. No facial fractures.
Plan: Fabricate Hoosier model broken nose face mask. Use clear DuPont Surlyn shatter proof material for eye safety and endurance with black WBC Velcro elastic straps. Broken nose only used for basketball and soccer. http://indianabrace.com/basketballfacemask.aspx
Sx: Order received 2/9/16 8:55 PM via website www.indianabrace.com. Shipped UPS Next Day Air 2/10/ 16 to Chicago, IL Expect delivery in 1 day.
FU: email customer satisfaction questionnaire on 02/17/16.
Clyde Peach, CO
www.indianbrace.com
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