This article provides a high level summary of ICD-10 implementation to ensure imaging leaders are ready for this monumental shift in the healthcare industry. Although it will be challenging, there are a number of compelling reasons for the change. It is important to remember that ICD-10-CM is not just a software update or something that only coders have to worry about. Scheduling and registration staff, clinicians, billing staff, and edit/denials department will all be affected. For radiology services, the biggest area impacted is trauma. The majority of the implementation planning will be outside of your control, but you should get involved where you can. Identify the items that are unique to radiology and make your own plan to ensure they don't get overlooked. The first thing to do is select a champion.