There is no documentation indicating this condition complicated the delivery (or worsened as a result of the child birthing process). Just her home meds were continued. And mom and baby were discharged in an appropriate timeframe for a vaginal delivery. I had the same thoughts as you, but I was noticing this coded in a few claims I was reviewing with similar scenarios and due to the trend started to question. I appreciate your time and input!
Unless the provider says it is not affecting/complicating the pregnancy/delivery, then the assumption is that it is. But does the note say " history of"? The doctors use this incorrectly when patient actually has an active condition. If it does state " history of anxiety" I would not code it as a resolved/past condition.
If she is still taking her anxiety medications I think we can assume she still needs them for anxiety. But it still means we need to know if this physician is treating her for anxiety or she is simply taking the medication ordered by another physician. While I agree that the rule says that the provider must indicate that the condition is not complicating the pregnancy, it also says that the provider must be treating her for this condition for this rule to apply. I am not a fan of assigning a mental health diagnosis to a pregnant patient unless it is clear that the delivering physician is the one who is doing the management of that anxiety. If it were me, I would have asked the provider to indicate whether he/she wanted this reported.