diff --git a/openhis-ui-vue3/src/views/inpatientNurse/InpatientBilling/components/FeeDialog.vue b/openhis-ui-vue3/src/views/inpatientNurse/InpatientBilling/components/FeeDialog.vue
index ebab6aecf..7688e6f06 100755
--- a/openhis-ui-vue3/src/views/inpatientNurse/InpatientBilling/components/FeeDialog.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/InpatientBilling/components/FeeDialog.vue
@@ -348,7 +348,8 @@ const adviceTypeList = computed(() => {
       return val === 3 || val === 4;
     }).map(item => ({
       label: item.label,
-      value: parseInt(item.value)
+      // 将前端字典值映射为后端SQL值: 耗材4→2, 诊疗3→3
+      value: parseInt(item.value) === 4 ? 2 : parseInt(item.value)
     }));
     return [...filtered, { label: '全部', value: '' }];
   }