Hallux Rigidus / X1 Blade #7441 to Carol S. in Liberty, NC

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Order Taken: WebSite Order 4/18/17 / Shipped 4/19/17 USPS Priority Mail
PA: Carol S./ Liberty, NC
RX: Clyde's X1 GoBlade for Great Toe Pain Right Foot
DX: Great Toe Pain / Arthritic Great Toe
ICD-10-CM Billing Code : M20.21
Plan: Fabricate X1 GoBlade #7441 woman's size 9 with StifFlex midfoot for unrestricted ankle motion during community walking. Create .03" great toe and heel relief pockets. Maintain rocker shape forefoot for natural toe off. Pad heel with1/8"perf plastizote for heel strike relief to prevent plantar fasciitis. Cover great toe relief zone with ShearBan to prevent blistering during
adult daily activity. Specs: thickness and weight of X1 GoBlade #7441 (1/25 ") - 1.250 oz
Sport: Walking
User Comments: None
Website: www.indianabrace.com
Contact: Call: 800-253-6217 Text: 317-445-1475 Email: clyde.peach@gmail.com
Practitioner: Clyde Peach, CO - ABC Certified Orthotist #1321

Carol's X1 Blade #7441

American Board for Certification in Orthotics & Prosthetics