Diagnosis: fracture of nasal bones / ICD-10-CM diagnosis code group S02.3XXA
Plan: Fabricate Hoosier model basketball broken nose face mask. Use black high density polyethalene with black straps. Broken nose only.
Sx: Order received 1/26/ 16 5:05 PM via website www.indianabrace.com. Shipped UPS Ground 01/27/16 to Lebanon, IN Expect delivery in 1days.
FU: email customer satisfaction questionnaire on 2/10/16
Clyde Peach, CO
www.indianbrace.com
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