Although the ICD-10 deadline has been pushed back to October 1, 2014, it is not too early to start planning for implementation. Every system that uses ICD-9 coding will need to be updated. Physicians and staff need extensive training on documentation and coding. Coders will need detailed knowledge of anatomy and medical terminology. Budgets should include costs for training, software upgrades and loss in productivity during the learning curve. We can conduct an impact analysis to evaluate how ICD-10 will affect your practice.