John Cena's recovery from his recent elbow surgery is said to be slow after he had chips in his elbow removed. He will be on RAW weekly, but it's unknown if he will be able to physically wrestle at Hell in a Cell at this point.
It's likely that they will hold off until the last minute to pull Cena from the match, but he could still get involved in a Punk vs. Ryback match as a referee or in some other way.
Punk will wrestle Ryback this weekend at house shows as a run-through of a possible match.