diff --git a/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/prescriptionlist.vue b/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/prescriptionlist.vue
index 9adbfb4d2..8a66146ee 100755
--- a/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/prescriptionlist.vue
+++ b/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/prescriptionlist.vue
@@ -461,6 +461,10 @@ watch(
     console.log(prescriptionList.value,"prescriptionList.value")
     if(newValue&&newValue.length>0){
       let saveList = prescriptionList.value.filter((item) => {
+        // 手术计费场景（generateSourceEnum=6）不限制 bizRequestFlag
+        if (isSurgeryChargeBillingContext()) {
+          return item.check && item.statusEnum == 1
+        }
         return item.check && item.statusEnum == 1&&(Number(item.bizRequestFlag)==1||!item.bizRequestFlag)
       })
        console.log(saveList,"prescriptionList.value")
@@ -1025,7 +1029,9 @@ function changeCheck(value,index,row){
   groupList.value.map(k=>{
     if(k.check){
       if(k.statusEnum == 1){//待签发
-        if(Number(k.bizRequestFlag)==1||!k.bizRequestFlag){
+        // 手术计费场景（generateSourceEnum=6）不限制 bizRequestFlag
+        const bizAllowed = isSurgeryChargeBillingContext() || Number(k.bizRequestFlag)==1||!k.bizRequestFlag
+        if(bizAllowed){
           if(handleSaveDisabled.value&&!handleSingOutDisabled.value&&groupList.value.length>1){
             proxy.$modal.msgWarning('请选择相同的状态的项目进行操作')
             return
@@ -1040,7 +1046,9 @@ function changeCheck(value,index,row){
         }
       }
       if(k.statusEnum == 2){ //已签发
-        if(Number(k.bizRequestFlag)==1||!k.bizRequestFlag){
+        // 手术计费场景（generateSourceEnum=6）不限制 bizRequestFlag
+        const bizAllowed = isSurgeryChargeBillingContext() || Number(k.bizRequestFlag)==1||!k.bizRequestFlag
+        if(bizAllowed){
           if(!handleSaveDisabled.value&&handleSingOutDisabled.value&&groupList.value.length>1){
             proxy.$modal.msgWarning('请选择相同的状态的项目进行操作')
             return
@@ -1067,6 +1075,11 @@ function handleSave() {
     return;
   }
   let saveList = prescriptionList.value.filter((item) => {
+    // 手术计费场景（generateSourceEnum=6）不限制 bizRequestFlag，允许任何授权用户签发
+    // 门诊划价场景保留 bizRequestFlag 限制，只能操作本人开立的医嘱
+    if (isSurgeryChargeBillingContext()) {
+      return item.check && item.statusEnum == 1
+    }
     return item.check && item.statusEnum == 1&&(Number(item.bizRequestFlag)==1||!item.bizRequestFlag)
   });
   // let saveList = prescriptionList.value
@@ -1185,6 +1198,10 @@ function handleSingOut() {
       return item.check;
     })
     .filter((item) => {
+      // 手术计费场景（generateSourceEnum=6）不限制 bizRequestFlag
+      if (isSurgeryChargeBillingContext()) {
+        return item.statusEnum == 2 && item.chargeStatus != 5
+      }
       return item.statusEnum == 2 && item.chargeStatus != 5 && (Number(item.bizRequestFlag)==1||!item.bizRequestFlag)
     })
     .map((item) => {