Industry sentiment on ICD-10 spans the entire spectrum. At one end, some describe it as a potential train wreck. At the other, some say the intricate coding and nomenclature system--which is mandated to take effect industry-wide on Oct. 1, 2013--is the industry's best shot at improving the way it describes, bills and pays for services.

The skeptics fear a revenue cycle nightmare in which payments are stalled. The idealists envision a new era of improved documentation, quality and outcomes. A large group in the middle has no time for theorizing, since they're already submerged in making the transition. A few CIOs are beginning to plead for an extension of the deadline.

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