Among the numerous initiatives affecting healthcare organizations, the transition from ICD-9 to ICD-10 arguably ranks as the most far-reaching to impact their business. Beacon Partners, one of the largest healthcare management consulting firms in North America, convened a roundtable in May 2012 comprising leaders from respected health systems and moderated by Dan Head, Healthcare Consulting Principal at McGladrey. This report features the discussions of the four panelists as they talked about the challenges and opportunities they face in implementing ICD-10. As healthcare providers either begin their initiatives or assess their progress to date, learning what your peers are doing in terms of planning and implementation strategies and models can help shape critical next steps.