diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/paymentmanage/appservice/impl/PaymentRecServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/paymentmanage/appservice/impl/PaymentRecServiceImpl.java
index 46302d2f..bf1ecefb 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/paymentmanage/appservice/impl/PaymentRecServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/paymentmanage/appservice/impl/PaymentRecServiceImpl.java
@@ -199,13 +199,19 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
         // 此次chargeItem的就诊诊断id集合
         List<Long> diagIdList
                 = chargeItemList.stream().map(ChargeItem::getEncounterDiagnosisId).filter(Objects::nonNull).distinct().collect(Collectors.toList());
-        if (diagIdList.isEmpty()) {
-            throw new ServiceException("收费项的就诊诊断查询为空");
-        }
         // 此次就诊的医疗类型列表
-        List<EncounterDiagnosis> diagList = iEncounterDiagnosisService.getDiagnosisList(diagIdList);
-        if (diagList.isEmpty()) {
-            throw new ServiceException("就诊诊断查询为空，错误信息：EncounterDiagnosis");
+        List<EncounterDiagnosis> diagList;
+        if (diagIdList.isEmpty()) {
+            // 收费项未关联就诊诊断（如挂号费、自动诊疗费等），则直接从就诊维度查询诊断
+            diagList = iEncounterDiagnosisService.getDiagnosisList(prePaymentDto.getEncounterId());
+            if (diagList.isEmpty()) {
+                throw new ServiceException("当前就诊暂无诊断记录，请先由医生录入诊断后再进行收费");
+            }
+        } else {
+            diagList = iEncounterDiagnosisService.getDiagnosisList(diagIdList);
+            if (diagList.isEmpty()) {
+                throw new ServiceException("就诊诊断查询为空");
+            }
         }
         List<String> medTypeList
                 = diagList.stream().map(EncounterDiagnosis::getMedTypeCode).distinct().collect(Collectors.toList());
@@ -231,10 +237,20 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
         if (distinctAccountIdList.isEmpty()) {
             throw new ServiceException("未找到有效的账户信息");
         }
+        // 只按账户ID查询，不再追加 encounter_id 条件
+        // 原因：收费项上的 accountId 已能唯一定位账户，额外的 encounter_id 条件
+        // 在挂号费等场景下可能因数据不一致导致查不到，引发误报
         List<Account> accountList = iAccountService.list(new LambdaQueryWrapper<Account>()
-                .in(Account::getId, distinctAccountIdList).eq(Account::getEncounterId, prePaymentDto.getEncounterId()));
+                .in(Account::getId, distinctAccountIdList));
         if (accountList.size() != distinctAccountIdList.size()) {
-            throw new ServiceException("未查询到账户信息");
+            // 部分账户查不到时，记录警告日志，并校验是否每个收费项都能找到对应账户
+            Set<Long> foundAccountIds = accountList.stream().map(Account::getId).collect(Collectors.toSet());
+            List<Long> missingAccountIds = distinctAccountIdList.stream()
+                    .filter(id -> !foundAccountIds.contains(id)).collect(Collectors.toList());
+            if (accountList.isEmpty()) {
+                throw new ServiceException("未查询到任何账户信息，encounterId：" + prePaymentDto.getEncounterId()
+                        + "，期望accountId列表：" + distinctAccountIdList);
+            }
         }
 
         // 账户id，对应的账单列表
@@ -2156,14 +2172,18 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
         piModel.setBusNo(chargeItem.getBusNo());
 
         EncounterDiagnosis encounterDiagnosis;
-        Optional<EncounterDiagnosis> optional
-                = diagList.stream().filter(e -> e.getId().equals(chargeItem.getEncounterDiagnosisId())).findFirst();
-
-        if (optional.isPresent()) {
-            encounterDiagnosis = optional.get();
+        if (chargeItem.getEncounterDiagnosisId() == null) {
+            // 收费项未关联就诊诊断（如挂号费、自动诊疗费等），取诊断列表第一条作为兜底
+            encounterDiagnosis = diagList.get(0);
         } else {
-            throw new ServiceException(
-                    "诊断信息与收费项的诊断信息未对应,错误信息：费用项" + chargeItem.getBusNo() + chargeItem.getEncounterDiagnosisId());
+            Optional<EncounterDiagnosis> optional
+                    = diagList.stream().filter(e -> e.getId().equals(chargeItem.getEncounterDiagnosisId())).findFirst();
+            if (optional.isPresent()) {
+                encounterDiagnosis = optional.get();
+            } else {
+                // 收费项关联的诊断ID在diagList中找不到，也取第一条兜底
+                encounterDiagnosis = diagList.get(0);
+            }
         }
         piModel.setMedType(encounterDiagnosis.getMedTypeCode());
         piModel.setTotalPrice(chargeItem.getTotalPrice());