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I don't think it will be delayed this time.  The Medicare bill passed without delaying ICD-10.  This is very important because the President is on board with ICD-10.  While he wouldn't veto a Medicare or say budget bill because of an ICD-10 delay because it would be a political disaster, he would veto a bill that was nothing more than an ICD-10 delay.  As long as Congress isn't able to tack on an ICD-10 delay to some essential bill, something that Congress is famous for like putting some new highway tax on The Farm Bill just for an example, then it's all go.

This brings up something that I have been telling people on FaceBook.  You have three federal lawmakers who are answerable to YOU--two Senators and one member of the House.  Regardless of how you feel about ICD-10, whether you want it to roll out in October or be delayed, they should all get an email and phone call from you.  They will answer you, and you have the right to be heard.  Don't just assume that because your lawmaker is on record as being pro/anti ICD-10 he/she will vote that way.  It really does depend on the amount of communication they get.  True, if they are for/against something and they get a plus 100 number in the other direction they will vote their conscious, but if they get a lot of push in the other direction it may very well sway them.  They are too afraid of alienating voters.  I worked with my city's mayor who was a councilmen then and I know how it works, especially with a low profile subject like ICD-10.  When it comes to technical stuff, they really do depend on the opinions of people in the effected industries for input.  I doubt few in Congress really understand what ICD-10 is and its pros/cons.