What is your office's biggest obstacle in the transition to ICD-10?

What is standing in your way to preparing for the new coding structure coming in 2013?

Yes, 2013 seems like it is far away, but with the 5010 electronic transaction standard starting next year, ICD-10 preparation is in high gear for many practices. What has your practice done to get ready? What roadblocks are in your way? Weigh in below in the comments section.