We don't have a charge if the delivery was prior to arriving at the hospital but if we delivered the placenta, we post a charge for CPT 59414.
Deb - are you referring to starting an OB ED at your facility?
OBS- we charge by the minute and the minutes convert to hours on the claim
OP in a bed- we charge by E/M or G0463... we use 456 for urgent care/assessment visits and 510 for non-urgent care visits. The determination is based on presenting complaint/condition that is being evaluated and managed by the triage team.