@mindbill/react 0.54.0 → 0.55.0

package/dist/index.js

@@ -2336,6 +2336,18 @@ var BILL_SUBMISSION_REPORT_TYPES = [
   { code: "V5", label: "Death Notification" },
   { code: "XP", label: "Photographs" }
 ];
+function billSubmissionEstimateContext(code, placeOfService, details = {}) {
+  if (details.basis === "adjustment") return {};
+  if (/^992(?:0[2-5]|1[2-5])$/.test(code) && details.providerKind && details.providerKind !== "physical_therapist") return {
+    hasFeeAgreement: false,
+    physicianContext: { providerKind: details.providerKind, placeOfService, incidentToPhysicianService: false, standaloneService: true, globalPeriodApplies: false, hpsaBonusEligible: false }
+  };
+  if (code === "97110" && (details.providerKind === "physical_therapist" || details.providerKind === "other") && details.minutes && details.totalMinutes) return {
+    hasFeeAgreement: false,
+    therapyContext: { providerKind: details.providerKind, personallyPerformed: true, hospitalPatient: false, incidentToPhysicianService: false, assistantInvolved: false, placeOfService, directOneOnOneMinutes: details.minutes, totalVisitMinutes: details.totalMinutes, visitsOnDate: 1, completeSameDayServices: true, otherSameDayServices: false, globalPeriodApplies: false, hpsaBonusEligible: false }
+  };
+  return {};
+}
 var isMedicalLegalCode = (code) => /^ML/i.test(code.trim());
 function billSubmissionFeeRequest(bill, line, context = {}) {
   const dateOfService = parseBillSubmissionDate(line.serviceDate ?? bill.service.date) ?? "";
@@ -2533,27 +2545,33 @@ function remapBillSubmissionDiagnoses(bill, nextCodes) {
     }) } : {}
   })) };
 }
-function setBillSubmissionLineDiagnosis(bill, lineIndex, slot, code) {
-  if (!bill.serviceLines[lineIndex] || slot < 0 || slot > 3) return bill;
-  const diagnoses = [...bill.diagnoses ?? []];
-  const normalized = code.trim().toUpperCase();
-  if (normalized && !diagnoses.includes(normalized)) {
-    if (diagnoses.length >= 12) return bill;
-    diagnoses.push(normalized);
-  }
-  return { ...bill, diagnoses, serviceLines: bill.serviceLines.map((line, index) => {
-    if (index !== lineIndex) return line;
-    const pointers = [...line.diagnosisPointers ?? []];
-    if (normalized) pointers[slot] = diagnoses.indexOf(normalized) + 1;
-    else pointers.splice(slot, 1);
-    return { ...line, diagnosisPointers: [...new Set(pointers.filter((pointer) => Number.isInteger(pointer) && pointer > 0))].slice(0, 4) };
-  }) };
+function billSubmissionLineDiagnosisCodes(bill, index) {
+  return (bill.serviceLines[index]?.diagnosisPointers ?? []).flatMap((pointer) => bill.diagnoses?.[pointer - 1] ? [bill.diagnoses[pointer - 1].trim().toUpperCase()] : []);
+}
+function billSubmissionUsesSharedDiagnoses(bill) {
+  const codes = (bill.diagnoses ?? []).map((code) => code.trim().toUpperCase());
+  if (codes.length > 4) return false;
+  return bill.serviceLines.filter((line) => line.code.trim() && line.diagnosisPointers !== void 0).every((line) => JSON.stringify(line.diagnosisPointers?.map((pointer) => codes[pointer - 1])) === JSON.stringify(codes));
+}
+function setBillSubmissionDiagnosisAssignments(bill, assignments) {
+  const normalized = bill.serviceLines.map((_, index) => [...new Set((assignments[index] ?? []).map((code) => code.trim().toUpperCase()).filter(Boolean))]);
+  const selected = [...new Set(normalized.flat())];
+  if (selected.length > 12 || normalized.some((codes) => codes.length > 4)) return bill;
+  const diagnoses = [.../* @__PURE__ */ new Set([...(bill.diagnoses ?? []).map((code) => code.trim().toUpperCase()).filter((code) => selected.includes(code)), ...selected])];
+  return { ...bill, diagnoses, serviceLines: bill.serviceLines.map((line, index) => ({ ...line, diagnosisPointers: normalized[index].map((code) => diagnoses.indexOf(code) + 1) })) };
+}
+function setBillSubmissionSharedDiagnoses(bill, codes) {
+  return setBillSubmissionDiagnosisAssignments(bill, bill.serviceLines.map(() => codes));
+}
+function setBillSubmissionLineDiagnoses(bill, index, codes) {
+  if (!bill.serviceLines[index]) return bill;
+  return setBillSubmissionDiagnosisAssignments(bill, bill.serviceLines.map((_, lineIndex) => lineIndex === index ? codes : billSubmissionLineDiagnosisCodes(bill, lineIndex)));
 }
 function cloneInitialBill(bill, treatmentBilling = false) {
   const cloned = cloneBill(bill);
   if (treatmentBilling && cloned.serviceLines.some((line) => line.code.trim() && !isMedicalLegalCode(line.code))) cloned.billingMode = "professional";
   if (cloned.billingMode !== "professional") cloned.diagnoses = applyBillSubmissionEvaluationDiagnoses(cloned.diagnoses, initialEvaluationType(bill));
-  return cloned;
+  return billSubmissionUsesSharedDiagnoses(cloned) ? setBillSubmissionSharedDiagnoses(cloned, cloned.diagnoses ?? []) : cloned;
 }
 function stableInitializationValue(value) {
   if (Array.isArray(value)) return value.map(stableInitializationValue);
@@ -2661,9 +2679,10 @@ var css3 = `
 .mbsf-source-evidence{display:grid;gap:4px;color:var(--mb-muted);font-size:13px}.mbsf-source-evidence a{color:var(--mb-accent);font-weight:700}.mbsf-source-evidence q{color:var(--mb-text)}.mbsf-suggestions{display:flex;align-items:center;flex-wrap:wrap;gap:7px;color:var(--mb-muted);font-size:13px}.mbsf-suggestion{padding:5px 10px;border:1px solid color-mix(in srgb,var(--mb-accent) 55%,var(--mb-border));border-radius:999px;background:color-mix(in srgb,var(--mb-accent) 7%,var(--mb-surface));color:var(--mb-accent);font:inherit;font-weight:700;cursor:pointer}.mbsf-suggestion:hover,.mbsf-suggestion:focus{outline:2px solid color-mix(in srgb,var(--mb-accent) 25%,transparent)}.mbsf-claim-patterns{display:grid;gap:4px;margin-top:2px;font-size:13px}.mbsf-claim-patterns[data-state=match]{color:#087f5b}.mbsf-claim-patterns[data-state=warning]{color:#9a5200}.mbsf-claim-pattern-list{color:var(--mb-muted)}
 .mbsf-chips,.mbsf-quick-picks{display:flex;flex-wrap:wrap;gap:7px;margin-bottom:8px}.mbsf-chip,.mbsf-quick-pick{display:inline-flex;align-items:center;gap:7px;padding:5px 9px;border:1px solid var(--mb-border);border-radius:999px;background:var(--mb-input)}.mbsf-chip button{border:0;background:transparent;color:var(--mb-muted);cursor:pointer;font:inherit}.mbsf-quick-pick{color:var(--mb-text);font:inherit;cursor:pointer}.mbsf-quick-pick[data-selected=true]{border-color:var(--mb-accent);color:var(--mb-accent)}
 .mbsf-segments{display:grid;grid-template-columns:repeat(3,1fr);border:1px solid var(--mb-border);border-radius:var(--mb-control-radius);overflow:hidden}.mbsf-segment{min-height:44px;border:0;border-right:1px solid var(--mb-border);background:var(--mb-input);color:var(--mb-text);font:inherit;font-weight:700;cursor:pointer}.mbsf-segment:last-child{border-right:0}.mbsf-segment[aria-pressed=true]{background:var(--mb-accent);color:var(--mb-accent-contrast)}
-.mbsf-lines{margin-top:18px;border:1px solid var(--mb-border);border-radius:var(--mb-control-radius);overflow:visible}.mbsf-lines[data-invalid=true]{border-color:var(--mb-danger)}.mbsf-line-head,.mbsf-line{display:grid;grid-template-columns:minmax(190px,1.05fr) minmax(190px,1.3fr) minmax(180px,1fr) 100px 120px 42px;gap:12px;align-items:start;padding:12px}.mbsf-line-head{color:var(--mb-muted);font-size:13px;font-weight:700;border-bottom:1px solid var(--mb-border)}.mbsf-line{border-bottom:1px solid var(--mb-border)}.mbsf-line:last-child{border-bottom:0}.mbsf-line [data-invalid=true] .mbsf-input{border-color:var(--mb-danger);background:color-mix(in srgb,var(--mb-danger) 4%,var(--mb-input))}.mbsf-money{padding-top:12px;text-align:right;font-variant-numeric:tabular-nums}.mbsf-line-diagnoses{display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:6px;position:relative}.mbsf-line-diagnoses .mbsf-combo{position:static;min-width:0}.mbsf-line-diagnoses .mbsf-menu{left:0;right:0;min-width:100%}.mbsf-line-diagnoses .mbsf-input{padding:10px 6px;font-size:16px}.mbsf-fee-details{grid-column:1/-1;font-size:14px;color:var(--mb-muted);padding:8px 0}.mbsf-fee-details summary{cursor:pointer;font-weight:600}.mbsf-fee-details[open]{display:grid;gap:12px}.mbsf-fee-confirm{display:flex;gap:10px;align-items:flex-start;line-height:1.5}.mbsf-fee-confirm input{margin-top:4px}.mbsf-dx{display:flex;flex-wrap:wrap;gap:5px;padding-top:6px}.mbsf-dx-chip{width:30px;height:30px;border:1px solid var(--mb-border);border-radius:8px;background:var(--mb-surface);color:var(--mb-muted);font:inherit;font-size:13px;font-weight:750;cursor:pointer}.mbsf-dx-chip[data-active=true]{border-color:var(--mb-accent);background:color-mix(in srgb,var(--mb-accent) 10%,var(--mb-surface));color:var(--mb-accent)}.mbsf-total{display:flex;justify-content:flex-end;gap:45px;padding:16px 56px 16px 16px;font-size:17px;font-weight:760}
+.mbsf-lines{min-width:0;margin-top:18px;border:1px solid var(--mb-border);border-radius:var(--mb-control-radius);overflow:visible}.mbsf-lines[data-invalid=true]{border-color:var(--mb-danger)}.mbsf-line-head,.mbsf-line{display:grid;grid-template-columns:minmax(190px,1.05fr) minmax(190px,1.3fr) minmax(180px,1fr) 100px 120px 42px;gap:12px;align-items:start;padding:12px}.mbsf-line-head{color:var(--mb-muted);font-size:13px;font-weight:700;border-bottom:1px solid var(--mb-border)}.mbsf-line{border-bottom:1px solid var(--mb-border)}.mbsf-line:last-child{border-bottom:0}.mbsf-line [data-invalid=true] .mbsf-input{border-color:var(--mb-danger);background:color-mix(in srgb,var(--mb-danger) 4%,var(--mb-input))}.mbsf-money{padding-top:12px;text-align:right;font-variant-numeric:tabular-nums}.mbsf-line-diagnoses{min-width:0;position:relative}.mbsf-diagnosis-select{min-width:0}.mbsf-diagnosis-select .mbsf-chip{max-width:100%;align-items:flex-start}.mbsf-diagnosis-select .mbsf-chip>span{min-width:0;overflow-wrap:anywhere}.mbsf-diagnosis-toggle{display:flex;align-items:flex-start;gap:10px;margin:18px 0;line-height:1.5}.mbsf-diagnosis-toggle input{margin-top:4px}.mbsf-lines[data-shared-diagnoses=true]>.mbsf-line,.mbsf-lines[data-shared-diagnoses=true]>.mbsf-line-head{grid-template-columns:minmax(190px,1.05fr) minmax(190px,1.3fr) 100px 120px 42px}.mbsf-line-diagnoses .mbsf-combo{position:static;min-width:0}.mbsf-line-diagnoses .mbsf-menu{left:0;right:0;min-width:100%}.mbsf-line-diagnoses .mbsf-input{padding:10px 6px;font-size:16px}.mbsf-fee-details{min-width:0;grid-column:1/-1;font-size:14px;color:var(--mb-muted);padding:8px 0}.mbsf-fee-details summary{cursor:pointer;font-weight:600}.mbsf-fee-details details[open]{display:grid;gap:12px}.mbsf-fee-details>.mbsf-field{max-width:320px}.mbsf-fee-confirm{display:flex;gap:10px;align-items:flex-start;line-height:1.5}.mbsf-fee-confirm input{margin-top:4px}.mbsf-dx{display:flex;flex-wrap:wrap;gap:5px;padding-top:6px}.mbsf-dx-chip{width:30px;height:30px;border:1px solid var(--mb-border);border-radius:8px;background:var(--mb-surface);color:var(--mb-muted);font:inherit;font-size:13px;font-weight:750;cursor:pointer}.mbsf-dx-chip[data-active=true]{border-color:var(--mb-accent);background:color-mix(in srgb,var(--mb-accent) 10%,var(--mb-surface));color:var(--mb-accent)}.mbsf-total{display:flex;justify-content:flex-end;gap:45px;padding:16px 56px 16px 16px;font-size:17px;font-weight:760}
 .mbsf-icon-btn{width:40px;height:42px;border:0;background:transparent;color:var(--mb-text);font-size:22px;cursor:pointer}.mbsf-secondary{min-height:40px;padding:8px 14px;border:1px solid var(--mb-border);border-radius:var(--mb-control-radius);background:var(--mb-surface);color:var(--mb-text);font:inherit;font-weight:680;cursor:pointer}.mbsf-attach-list{display:grid;gap:10px;margin-bottom:18px}.mbsf-attach-row{padding:14px;border:1px solid var(--mb-border);border-radius:var(--mb-control-radius)}.mbsf-attach-row[data-auto=true]{border-color:color-mix(in srgb,#159447 45%,var(--mb-border));background:color-mix(in srgb,#159447 5%,var(--mb-surface))}.mbsf-attach-main{display:flex;align-items:center;gap:12px;min-width:0;flex:1}.mbsf-attach-type{width:min(360px,32vw);flex:0 1 360px}.mbsf-attach-type .mbsf-label{display:block;margin-bottom:6px;font-size:12px}.mbsf-attach-actions{display:flex;align-items:center;gap:6px;flex:0 0 auto}.mbsf-file{min-width:0}.mbsf-file strong{overflow-wrap:anywhere}.mbsf-badge{display:inline-block;margin-left:8px;padding:2px 7px;border:1px solid var(--mb-border);border-radius:7px;color:var(--mb-muted);font-size:12px;font-weight:600}.mbsf-drop{display:grid;width:100%;place-items:center;min-height:210px;padding:30px;border:2px dashed color-mix(in srgb,var(--mb-muted) 55%,transparent);border-radius:var(--mb-control-radius);background:color-mix(in srgb,var(--mb-accent) 3%,var(--mb-surface));color:var(--mb-text);font:inherit;text-align:center;cursor:pointer}.mbsf-drop[data-active=true]{border-color:var(--mb-accent);background:color-mix(in srgb,var(--mb-accent) 10%,var(--mb-surface))}.mbsf-alert{padding:12px 14px;border-radius:var(--mb-control-radius);background:color-mix(in srgb,var(--mb-danger) 10%,transparent);color:var(--mb-danger)}.mbsf-actions{justify-content:flex-end}.mbsf-submit{min-width:180px;min-height:48px;padding:11px 24px;border:0;border-radius:var(--mb-control-radius);background:var(--mb-accent);color:var(--mb-accent-contrast);font:inherit;font-weight:780;cursor:pointer}
-@media(max-width:820px){.mbsf-line-diagnoses{grid-template-columns:repeat(4,minmax(0,1fr))}.mbsf{gap:16px}.mbsf-grid{grid-template-columns:1fr}.mbsf-span{grid-column:auto}.mbsf-card{padding:18px 16px}.mbsf-line-head{display:none}.mbsf-line{position:relative;display:grid;grid-template-columns:minmax(0,1fr) 86px;gap:14px;padding:18px 16px}.mbsf-line>div:before{display:block;margin-bottom:6px;color:var(--mb-muted);font-size:12px;font-weight:700;content:attr(data-label)}.mbsf-line>div:nth-child(1),.mbsf-line>div:nth-child(2),.mbsf-line>div:nth-child(3){grid-column:1/-1}.mbsf-money{align-self:end;padding:0 0 12px;text-align:right}.mbsf-line .mbsf-icon-btn{position:absolute;right:8px;bottom:3px}.mbsf-total{padding:16px 18px;gap:24px}.mbsf-head{align-items:flex-start}.mbsf-segments{grid-template-columns:repeat(3,minmax(0,1fr))}.mbsf-segment{min-width:0;padding:8px 4px;border-right:1px solid var(--mb-border);border-bottom:0;font-size:13px}.mbsf-segment:last-child{border-right:0}.mbsf-payer-option{align-items:flex-start}.mbsf-attach-row{align-items:flex-start;flex-wrap:wrap}.mbsf-attach-main{align-items:flex-start;flex-basis:calc(100% - 150px)}.mbsf-attach-type{width:100%;flex-basis:100%;order:3}.mbsf-attach-actions{margin-left:auto}.mbsf-drop{min-height:190px;padding:24px 18px}.mbsf-actions{position:sticky;bottom:86px;z-index:10}.mbsf.mbsf-lifecycle-correction .mbsf-actions{position:static;bottom:auto}.mbsf-submit{width:100%}}
+.mbsf-lines[data-stacked=true] .mbsf-line-head,.mbsf-lines[data-stacked=true][data-shared-diagnoses=true]>.mbsf-line-head{display:none}.mbsf-lines[data-stacked=true] .mbsf-line,.mbsf-lines[data-stacked=true][data-shared-diagnoses=true]>.mbsf-line{position:relative;display:grid;grid-template-columns:minmax(0,1fr) 86px;gap:14px;padding:18px 16px}.mbsf-lines[data-stacked=true] .mbsf-line>div:before{display:block;margin-bottom:6px;color:var(--mb-muted);font-size:12px;font-weight:700;content:attr(data-label)}.mbsf-lines[data-stacked=true] .mbsf-line>div:nth-child(1),.mbsf-lines[data-stacked=true] .mbsf-line>div:nth-child(2),.mbsf-lines[data-stacked=true] .mbsf-line>.mbsf-line-diagnoses{grid-column:1/-1}.mbsf-lines[data-stacked=true] .mbsf-money{align-self:end;padding:0 0 12px;text-align:right}.mbsf-lines[data-stacked=true] .mbsf-line .mbsf-icon-btn{position:absolute;right:8px;bottom:3px}.mbsf-lines[data-stacked=true] .mbsf-total{padding:16px 18px;gap:24px}
+@media(max-width:820px){.mbsf{gap:16px}.mbsf-grid{grid-template-columns:1fr}.mbsf-span{grid-column:auto}.mbsf-card{padding:18px 16px}.mbsf-line-head,.mbsf-lines[data-shared-diagnoses=true]>.mbsf-line-head{display:none}.mbsf-line,.mbsf-lines[data-shared-diagnoses=true]>.mbsf-line{position:relative;display:grid;grid-template-columns:minmax(0,1fr) 86px;gap:14px;padding:18px 16px}.mbsf-line>div:before{display:block;margin-bottom:6px;color:var(--mb-muted);font-size:12px;font-weight:700;content:attr(data-label)}.mbsf-line>div:nth-child(1),.mbsf-line>div:nth-child(2),.mbsf-line>.mbsf-line-diagnoses{grid-column:1/-1}.mbsf-money{align-self:end;padding:0 0 12px;text-align:right}.mbsf-line .mbsf-icon-btn{position:absolute;right:8px;bottom:3px}.mbsf-total{padding:16px 18px;gap:24px}.mbsf-head{align-items:flex-start}.mbsf-segments{grid-template-columns:repeat(3,minmax(0,1fr))}.mbsf-segment{min-width:0;padding:8px 4px;border-right:1px solid var(--mb-border);border-bottom:0;font-size:13px}.mbsf-segment:last-child{border-right:0}.mbsf-payer-option{align-items:flex-start}.mbsf-attach-row{align-items:flex-start;flex-wrap:wrap}.mbsf-attach-main{align-items:flex-start;flex-basis:calc(100% - 150px)}.mbsf-attach-type{width:100%;flex-basis:100%;order:3}.mbsf-attach-actions{margin-left:auto}.mbsf-drop{min-height:190px;padding:24px 18px}.mbsf-actions{position:sticky;bottom:86px;z-index:10}.mbsf.mbsf-lifecycle-correction .mbsf-actions{position:static;bottom:auto}.mbsf-submit{width:100%}}
 `;
 function RequiredMark() {
   return /* @__PURE__ */ jsx6("span", { className: "mbsf-star", children: " *" });
@@ -2888,6 +2907,8 @@ function BillSubmissionForm({
   children
 }) {
   const [bill, setBill] = useState6(() => cloneInitialBill(initialBill, treatmentBilling));
+  const [sharedDiagnoses, setSharedDiagnoses] = useState6(() => billSubmissionUsesSharedDiagnoses(cloneInitialBill(initialBill, treatmentBilling)));
+  const individualDiagnoses = useRef3(null);
   const [providerEditing, setProviderEditing] = useState6(false);
   const [selectedIds, setSelectedIds] = useState6(() => attachments.map((item) => item.id));
   const [removedSourceIds, setRemovedSourceIds] = useState6([]);
@@ -2923,6 +2944,18 @@ function BillSubmissionForm({
   const [feeQuotes, setFeeQuotes] = useState6({});
   const [postalStatus, setPostalStatus] = useState6(null);
   const [dragActive, setDragActive] = useState6(false);
+  const serviceLinesRef = useRef3(null);
+  const [stackedServiceLines, setStackedServiceLines] = useState6(true);
+  useEffect6(() => {
+    const element = serviceLinesRef.current;
+    if (!element) return;
+    const update = () => setStackedServiceLines(element.clientWidth <= 906);
+    update();
+    if (typeof ResizeObserver === "undefined") return;
+    const observer = new ResizeObserver(update);
+    observer.observe(element);
+    return () => observer.disconnect();
+  }, []);
   const formRef = useRef3(null);
   const fileInput = useRef3(null);
   const diagnosisRequest = useRef3(0);
@@ -2953,6 +2986,8 @@ function BillSubmissionForm({
     previousInitializationKey.current = initializationKey;
     setFeeDetails({});
     setFeeQuotes({});
+    setSharedDiagnoses(billSubmissionUsesSharedDiagnoses(cloneInitialBill(initialBill, treatmentBilling)));
+    individualDiagnoses.current = null;
     setBill(cloneInitialBill(initialBill, treatmentBilling));
     setEvaluationType(initialEvaluationType(initialBill));
     setSelectedIds(attachments.map((item) => item.id));
@@ -3047,7 +3082,7 @@ function BillSubmissionForm({
         return next;
       }));
       const populated = serviceLines.filter((line) => line.code.trim());
-      return { ...replaceBillSubmissionServiceLines(current, serviceLines), ...treatmentBilling && populated.length ? { billingMode: populated.every((line) => isMedicalLegalCode(line.code)) ? "med_legal" : "professional" } : {} };
+      return { ...sharedDiagnoses ? setBillSubmissionSharedDiagnoses(replaceBillSubmissionServiceLines(current, serviceLines), current.diagnoses ?? []) : replaceBillSubmissionServiceLines(current, serviceLines), ...treatmentBilling && populated.length ? { billingMode: populated.every((line) => isMedicalLegalCode(line.code)) ? "med_legal" : "professional" } : {} };
     });
   };
   const text = (value, onChange, options = {}) => /* @__PURE__ */ jsx6("input", { className: "mbsf-input", disabled: locked, value: value ?? "", onChange: (event) => onChange(event.target.value), ...options });
@@ -3170,24 +3205,18 @@ function BillSubmissionForm({
     }).catch(() => setPostalStatus("ZIP lookup unavailable"));
   };
   const changeEvaluation = (type) => {
+    if (sharedDiagnoses) individualDiagnoses.current = null;
     setEvaluationType(type);
     setBill((current) => {
-      const remapped = remapBillSubmissionDiagnoses(current, current.billingMode === "professional" ? current.diagnoses ?? [] : applyBillSubmissionEvaluationDiagnoses(current.diagnoses, type));
+      const nextDiagnoses = current.billingMode === "professional" ? current.diagnoses ?? [] : applyBillSubmissionEvaluationDiagnoses(current.diagnoses, type);
+      const remapped = sharedDiagnoses ? setBillSubmissionSharedDiagnoses(current, nextDiagnoses) : remapBillSubmissionDiagnoses(current, nextDiagnoses);
       return { ...remapped, renderingProvider: { ...current.renderingProvider, isAme: type === "ame" || type === "psych_ame", isQme: type === "qme" || type === "psych_qme", ...(type === "psych_qme" || type === "psych_ame") && !current.renderingProvider?.specialty ? { specialty: "Psychiatry" } : {} }, serviceLines: applyBillSubmissionEvaluationModifiers(remapped.serviceLines, type) };
     });
   };
   const supportedFeeJurisdiction = (bill.claim.injuryState ?? "CA").trim().toUpperCase() === "CA";
-  const feeConfirmationKey = (line) => JSON.stringify({ date: parseBillSubmissionDate(line.serviceDate ?? bill.service.date) ?? "", location: bill.serviceLocation, provider: bill.renderingProvider });
   const quoteInputs = bill.serviceLines.map((line, index) => {
     if (!treatmentBilling || !line.code.trim() || isMedicalLegalCode(line.code)) return null;
-    const details = feeDetails[index];
-    let context = {};
-    if (details?.confirmed && details.confirmationKey === feeConfirmationKey(line)) {
-      const placeOfService = bill.serviceLocation?.placeOfServiceCode ?? "";
-      if (/^992(?:0[2-5]|1[2-5])$/.test(line.code) && details.providerKind) context = { ...context, hasFeeAgreement: false, physicianContext: { providerKind: details.providerKind, placeOfService, incidentToPhysicianService: false, standaloneService: true, globalPeriodApplies: false, hpsaBonusEligible: false } };
-      if (line.code === "97110" && details.minutes && details.totalMinutes) context = { ...context, hasFeeAgreement: false, therapyContext: { providerKind: "physical_therapist", personallyPerformed: true, hospitalPatient: false, incidentToPhysicianService: false, assistantInvolved: false, placeOfService, directOneOnOneMinutes: details.minutes, totalVisitMinutes: details.totalMinutes, visitsOnDate: 1, completeSameDayServices: true, otherSameDayServices: false, globalPeriodApplies: false, hpsaBonusEligible: false } };
-    }
-    return billSubmissionFeeRequest(bill, line, context);
+    return billSubmissionFeeRequest(bill, line, billSubmissionEstimateContext(line.code, bill.serviceLocation?.placeOfServiceCode ?? "", feeDetails[index]));
   });
   const quoteKeys = quoteInputs.map((input) => input ? JSON.stringify(input) : null);
   const quoteBatch = JSON.stringify(quoteInputs);
@@ -3216,7 +3245,7 @@ function BillSubmissionForm({
     if (treatmentBilling && line.code && !isMedicalLegalCode(line.code)) {
       const key = quoteKeys[index];
       const quote = key ? feeQuotes[key] : void 0;
-      return supportedFeeJurisdiction && quote?.status === "priced" ? quote.amountCents / 100 : void 0;
+      return supportedFeeJurisdiction && feeDetails[index]?.basis !== "adjustment" && quote?.status === "priced" ? quote.amountCents / 100 : void 0;
     }
     return calculateBillSubmissionAllowedAmount(line, procedures) ?? (Number.isFinite(line.charge) ? Number(line.charge) : void 0);
   };
@@ -3228,37 +3257,45 @@ function BillSubmissionForm({
     const update = (patch) => setFeeDetails((current) => ({ ...current, [index]: { ...current[index], ...patch } }));
     const office = /^992(?:0[2-5]|1[2-5])$/.test(line.code);
     const therapy = line.code === "97110";
-    return /* @__PURE__ */ jsxs6("details", { className: "mbsf-fee-details", children: [
-      /* @__PURE__ */ jsxs6("summary", { children: [
-        "Fee schedule details",
-        quote?.status === "priced" ? " \xB7 Verified" : ""
-      ] }),
-      office ? /* @__PURE__ */ jsxs6("label", { className: "mbsf-field", children: [
-        /* @__PURE__ */ jsx6("span", { children: "Service performed by" }),
-        /* @__PURE__ */ jsxs6("select", { className: "mbsf-input", "aria-label": `Service performed by for line ${index + 1}`, value: details.providerKind ?? "", onChange: (event) => update({ providerKind: event.target.value, confirmed: false }), children: [
-          /* @__PURE__ */ jsx6("option", { value: "", children: "Select provider type\u2026" }),
-          /* @__PURE__ */ jsx6("option", { value: "physician", children: "Physician" }),
-          /* @__PURE__ */ jsx6("option", { value: "physician_assistant", children: "Physician assistant" }),
-          /* @__PURE__ */ jsx6("option", { value: "nurse_practitioner", children: "Nurse practitioner" }),
-          /* @__PURE__ */ jsx6("option", { value: "clinical_nurse_specialist", children: "Clinical nurse specialist" }),
-          /* @__PURE__ */ jsx6("option", { value: "other", children: "Other" })
+    return /* @__PURE__ */ jsxs6("div", { className: "mbsf-fee-details", children: [
+      /* @__PURE__ */ jsxs6("label", { className: "mbsf-field", children: [
+        /* @__PURE__ */ jsx6("span", { children: "Fee basis" }),
+        /* @__PURE__ */ jsxs6("select", { className: "mbsf-input", "aria-label": `Fee basis for line ${index + 1}`, value: details.basis ?? "standard", onChange: (event) => update({ basis: event.target.value }), children: [
+          /* @__PURE__ */ jsx6("option", { value: "standard", children: "Standard visit estimate" }),
+          /* @__PURE__ */ jsx6("option", { value: "adjustment", children: "Requires adjustment" })
         ] })
-      ] }) : null,
-      therapy ? /* @__PURE__ */ jsxs6("div", { className: "mbsf-grid", children: [
-        /* @__PURE__ */ jsxs6("label", { className: "mbsf-field", children: [
-          /* @__PURE__ */ jsx6("span", { children: "Direct one-on-one minutes" }),
-          /* @__PURE__ */ jsx6("input", { className: "mbsf-input", "aria-label": `Direct one-on-one minutes for line ${index + 1}`, type: "number", min: "1", value: details.minutes ?? "", onChange: (event) => update({ minutes: Number(event.target.value), confirmed: false }) })
+      ] }),
+      /* @__PURE__ */ jsx6("p", { className: "mbsf-help", children: details.basis === "adjustment" ? "This service needs fee review before submission." : office ? "Estimate assumes a standalone office visit with no incident-to service, global-period adjustment, HPSA bonus, or fee agreement. Choose Requires adjustment if any assumption does not apply." : therapy ? "Estimate assumes personally performed physical therapy, one visit and no other same-day services, assistant, hospital care, incident-to service, global-period adjustment, HPSA bonus, or fee agreement. Choose Requires adjustment if any assumption does not apply." : "Standard fee estimate for the service date. Choose Requires adjustment for a nonstandard service or fee agreement." }),
+      /* @__PURE__ */ jsxs6("details", { children: [
+        /* @__PURE__ */ jsxs6("summary", { children: [
+          "Fee schedule details",
+          quote?.status === "priced" && details.basis !== "adjustment" ? " \xB7 Estimate" : ""
         ] }),
-        /* @__PURE__ */ jsxs6("label", { className: "mbsf-field", children: [
-          /* @__PURE__ */ jsx6("span", { children: "Total visit minutes" }),
-          /* @__PURE__ */ jsx6("input", { className: "mbsf-input", "aria-label": `Total visit minutes for line ${index + 1}`, type: "number", min: "1", value: details.totalMinutes ?? "", onChange: (event) => update({ totalMinutes: Number(event.target.value), confirmed: false }) })
-        ] })
-      ] }) : null,
-      office || therapy ? /* @__PURE__ */ jsxs6("label", { className: "mbsf-fee-confirm", children: [
-        /* @__PURE__ */ jsx6("input", { type: "checkbox", checked: Boolean(details.confirmed && details.confirmationKey === feeConfirmationKey(line)), onChange: (event) => update({ confirmed: event.target.checked, confirmationKey: feeConfirmationKey(line) }) }),
-        /* @__PURE__ */ jsx6("span", { children: office ? "I confirm this is a standalone visit, not incident to a physician service, with no global-period adjustment, HPSA bonus, or fee agreement." : "I confirm a physical therapist personally performed this service in one visit. All services for this date have been reviewed; there were no other services, assistant, hospital care, incident-to services, global-period adjustment, HPSA bonus, or fee agreement." })
-      ] }) : null,
-      /* @__PURE__ */ jsx6("p", { className: "mbsf-help", role: "status", children: !supportedFeeJurisdiction ? "This jurisdiction requires fee review before submission." : !quoteFee ? "Connect fee lookup to check this service." : !quoteInputs[index]?.dateOfService ? "Enter a valid service date to check the fee." : quote?.status === "priced" ? "Allowed amount verified for this service date and the details above." : quote?.reason ?? "Checking the fee schedule\u2026" }),
+        office || therapy ? /* @__PURE__ */ jsxs6("label", { className: "mbsf-field", children: [
+          /* @__PURE__ */ jsx6("span", { children: "Service performed by" }),
+          /* @__PURE__ */ jsxs6("select", { className: "mbsf-input", "aria-label": `Service performed by for line ${index + 1}`, value: details.providerKind ?? "", onChange: (event) => update({ providerKind: event.target.value }), children: [
+            /* @__PURE__ */ jsx6("option", { value: "", children: "Select provider type\u2026" }),
+            office ? /* @__PURE__ */ jsxs6(Fragment4, { children: [
+              /* @__PURE__ */ jsx6("option", { value: "physician", children: "Physician" }),
+              /* @__PURE__ */ jsx6("option", { value: "physician_assistant", children: "Physician assistant" }),
+              /* @__PURE__ */ jsx6("option", { value: "nurse_practitioner", children: "Nurse practitioner" }),
+              /* @__PURE__ */ jsx6("option", { value: "clinical_nurse_specialist", children: "Clinical nurse specialist" })
+            ] }) : /* @__PURE__ */ jsx6("option", { value: "physical_therapist", children: "Physical therapist" }),
+            /* @__PURE__ */ jsx6("option", { value: "other", children: "Other" })
+          ] })
+        ] }) : null,
+        therapy ? /* @__PURE__ */ jsxs6("div", { className: "mbsf-grid", children: [
+          /* @__PURE__ */ jsxs6("label", { className: "mbsf-field", children: [
+            /* @__PURE__ */ jsx6("span", { children: "Direct one-on-one minutes" }),
+            /* @__PURE__ */ jsx6("input", { className: "mbsf-input", "aria-label": `Direct one-on-one minutes for line ${index + 1}`, type: "number", min: "1", value: details.minutes ?? "", onChange: (event) => update({ minutes: Number(event.target.value) }) })
+          ] }),
+          /* @__PURE__ */ jsxs6("label", { className: "mbsf-field", children: [
+            /* @__PURE__ */ jsx6("span", { children: "Total visit minutes" }),
+            /* @__PURE__ */ jsx6("input", { className: "mbsf-input", "aria-label": `Total visit minutes for line ${index + 1}`, type: "number", min: "1", value: details.totalMinutes ?? "", onChange: (event) => update({ totalMinutes: Number(event.target.value) }) })
+          ] })
+        ] }) : null
+      ] }),
+      /* @__PURE__ */ jsx6("p", { className: "mbsf-help", role: "status", children: details.basis === "adjustment" || !supportedFeeJurisdiction ? "This service requires fee review before submission." : !quoteFee ? "Connect fee lookup to estimate this service." : !quoteInputs[index]?.dateOfService ? "Enter a valid service date to estimate the fee." : quote?.status === "priced" ? "Standard fee estimate for this service date and the assumptions above." : quote?.reason ?? "Checking the fee schedule\u2026" }),
       quote?.status === "error" ? /* @__PURE__ */ jsx6("button", { type: "button", className: "mbsf-secondary", onClick: () => setFeeRetry((value) => value + 1), children: "Retry fee check" }) : null
     ] });
   };
@@ -3431,7 +3468,7 @@ function BillSubmissionForm({
       /* @__PURE__ */ jsx6(Field2, { path: "service.date", label: "Date of service", required: true, error: errors["service.date"], children: /* @__PURE__ */ jsx6(TextDateInput, { ariaLabel: "Date of service", value: bill.service.date, disabled: locked, required: true, onChange: (date2) => setBill((c) => ({ ...c, service: { ...c.service, date: date2 } })) }) }),
       /* @__PURE__ */ jsxs6(Field2, { label: "Treatment authorization # (optional)", children: [
         text(bill.service.authorizationNumber, (authorizationNumber) => setBill((c) => ({ ...c, service: { ...c.service, authorizationNumber } })), { placeholder: "Utilization-review authorization number" }),
-        /* @__PURE__ */ jsx6("small", { className: "mbsf-help", children: "Rides on the bill as CMS-1500 Box 23 / 837 REF*G1." })
+        /* @__PURE__ */ jsx6("small", { className: "mbsf-help", children: "If the approval has no authorization number, leave this blank and attach the approval." })
       ] }),
       /* @__PURE__ */ jsx6(Field2, { path: "claim.dateOfInjury", label: "Date of injury", required: true, error: errors["claim.dateOfInjury"], children: /* @__PURE__ */ jsx6(TextDateInput, { ariaLabel: "Date of injury", value: bill.claim.dateOfInjury, disabled: locked, required: true, onChange: (dateOfInjury) => setBill((c) => ({ ...c, claim: { ...c.claim, dateOfInjury } })) }) }),
       /* @__PURE__ */ jsx6(Field2, { path: "claim.employer", label: "Employer name", required: true, error: errors["claim.employer"], children: text(bill.claim.employer, (employer) => setBill((c) => ({ ...c, claim: { ...c.claim, employer } }))) }),
@@ -3491,28 +3528,7 @@ function BillSubmissionForm({
           " administers multiple payers. Choose the payer named on the claim or report so MindBill can route the bill correctly."
         ] })
       ] }) : null,
-      /* @__PURE__ */ jsx6(Field2, { label: "Injury description (optional)", span: true, children: text(bill.claim.description, (description2) => setBill((c) => ({ ...c, claim: { ...c.claim, description: description2 } }))) }),
-      /* @__PURE__ */ jsxs6(Field2, { path: "diagnoses", label: "Diagnosis codes (ICD-10)", required: true, span: true, error: errors.diagnoses, children: [
-        /* @__PURE__ */ jsx6("div", { className: "mbsf-quick-picks", "aria-label": "Common diagnosis codes", children: BILL_SUBMISSION_DIAGNOSIS_QUICK_PICKS.map((option) => {
-          const selected = (bill.diagnoses ?? []).includes(option.code);
-          return /* @__PURE__ */ jsxs6("button", { className: "mbsf-quick-pick", "data-selected": selected, type: "button", "aria-pressed": selected, title: `${option.code} \u2014 ${option.description}`, onClick: () => setBill((current) => remapBillSubmissionDiagnoses(current, selected ? (current.diagnoses ?? []).filter((code) => code !== option.code) : [...current.diagnoses ?? [], option.code])), children: [
-            selected ? "\u2713" : "+",
-            " ",
-            option.label
-          ] }, option.code);
-        }) }),
-        /* @__PURE__ */ jsx6("div", { className: "mbsf-chips", children: (bill.diagnoses ?? []).map((code) => {
-          const option = [...BILL_SUBMISSION_DIAGNOSIS_QUICK_PICKS, ...diagnosisChoices].find((item) => item.code === code);
-          return /* @__PURE__ */ jsxs6("span", { className: "mbsf-chip", children: [
-            /* @__PURE__ */ jsx6("strong", { children: code }),
-            option?.description ? ` ${option.description}` : "",
-            /* @__PURE__ */ jsx6("button", { type: "button", "aria-label": `Remove ${code}`, onClick: () => setBill((c) => remapBillSubmissionDiagnoses(c, (c.diagnoses ?? []).filter((item) => item !== code))), children: "\xD7" })
-          ] }, code);
-        }) }),
-        /* @__PURE__ */ jsx6(ComboBox, { ariaLabel: "Add diagnosis code", invalid: Boolean(errors.diagnoses), disabled: locked, loading: diagnosisLoading, loadingMore: diagnosisLoadingMore, value: "", placeholder: bill.diagnoses?.length ?? 0 ? `${bill.diagnoses.length} selected \u2014 add more\u2026` : "Search ICD-10 codes\u2026", options: diagnosisChoices.filter((item) => !(bill.diagnoses ?? []).includes(item.code)).map((item) => ({ id: item.code, label: item.code, detail: item.description })), onOpen: () => {
-          if (diagnosisQuery !== "") loadDiagnoses("");
-        }, onQuery: searchDiagnoses, onEndReached: () => loadDiagnoses(diagnosisQuery ?? "", true), onSelect: (option) => setBill((c) => remapBillSubmissionDiagnoses(c, [...c.diagnoses ?? [], option.id])) })
-      ] })
+      /* @__PURE__ */ jsx6(Field2, { label: "Injury description (optional)", span: true, children: text(bill.claim.description, (description2) => setBill((c) => ({ ...c, claim: { ...c.claim, description: description2 } }))) })
     ] })
   ] });
   const compactProviders = profileDisplay === "compact";
@@ -3590,20 +3606,67 @@ function BillSubmissionForm({
       ] })
     ] })
   ] });
+  const diagnosisSelector = (codes, onChange, lineIndex) => {
+    const invalid = Boolean(lineIndex === void 0 ? errors.diagnoses : errors[`serviceLines.${lineIndex}.diagnosisPointers`]);
+    const available = mergeDiagnosisOptions([...(bill.diagnoses ?? []).map((code) => ({ code, description: diagnosisChoices.find((item) => item.code === code)?.description ?? "" })), ...diagnosisChoices]);
+    const canAdd = (code) => codes.length < 4 && (sharedDiagnoses || (bill.diagnoses?.length ?? 0) < 12 || Boolean(bill.diagnoses?.includes(code)));
+    return /* @__PURE__ */ jsxs6("div", { className: "mbsf-diagnosis-select", children: [
+      lineIndex === void 0 ? /* @__PURE__ */ jsx6("div", { className: "mbsf-quick-picks", "aria-label": "Common diagnosis codes", children: BILL_SUBMISSION_DIAGNOSIS_QUICK_PICKS.map((option) => {
+        const selected = codes.includes(option.code);
+        return /* @__PURE__ */ jsxs6("button", { className: "mbsf-quick-pick", disabled: locked || !selected && !canAdd(option.code), "data-selected": selected, type: "button", "aria-pressed": selected, title: `${option.code} \u2014 ${option.description}`, onClick: () => onChange(selected ? codes.filter((code) => code !== option.code) : [...codes, option.code]), children: [
+          selected ? "\u2713" : "+",
+          " ",
+          option.label
+        ] }, option.code);
+      }) }) : null,
+      /* @__PURE__ */ jsx6("div", { className: "mbsf-chips", children: codes.map((code) => {
+        const option = [...BILL_SUBMISSION_DIAGNOSIS_QUICK_PICKS, ...available].find((item) => item.code === code);
+        return /* @__PURE__ */ jsxs6("span", { className: "mbsf-chip", children: [
+          /* @__PURE__ */ jsxs6("span", { children: [
+            /* @__PURE__ */ jsx6("strong", { children: code }),
+            option?.description ? ` ${option.description}` : ""
+          ] }),
+          /* @__PURE__ */ jsx6("button", { type: "button", disabled: locked, "aria-label": `Remove ${code}${lineIndex === void 0 ? "" : ` from service line ${lineIndex + 1}`}`, onClick: () => onChange(codes.filter((item) => item !== code)), children: "\xD7" })
+        ] }, code);
+      }) }),
+      /* @__PURE__ */ jsx6(ComboBox, { ariaLabel: lineIndex === void 0 ? "Add diagnosis code" : `Diagnosis codes for service line ${lineIndex + 1}`, invalid, disabled: locked || codes.length >= 4, loading: diagnosisLoading, loadingMore: diagnosisLoadingMore, value: "", placeholder: codes.length >= 4 ? "4 selected (maximum)" : codes.length ? `${codes.length} selected \u2014 add more\u2026` : "Search ICD-10 codes\u2026", options: available.filter((item) => !codes.includes(item.code) && canAdd(item.code)).map((item) => ({ id: item.code, label: item.code, detail: item.description })), onOpen: () => loadDiagnoses(""), onQuery: searchDiagnoses, onEndReached: () => loadDiagnoses(diagnosisQuery ?? "", true), onSelect: (option) => onChange([...codes, option.id]) })
+    ] });
+  };
+  const toggleSharedDiagnoses = (checked) => {
+    if (checked) {
+      individualDiagnoses.current = bill.serviceLines.map((_, index) => billSubmissionLineDiagnosisCodes(bill, index));
+      const codes = individualDiagnoses.current.find((selection) => selection.length) ?? (bill.diagnoses ?? []).slice(0, 4);
+      setBill(setBillSubmissionSharedDiagnoses(bill, codes));
+    } else if (individualDiagnoses.current) {
+      setBill(setBillSubmissionDiagnosisAssignments(bill, bill.serviceLines.map((_, index) => individualDiagnoses.current?.[index] ?? billSubmissionLineDiagnosisCodes(bill, index))));
+      individualDiagnoses.current = null;
+    }
+    setSharedDiagnoses(checked);
+  };
   const serviceLinesSection = /* @__PURE__ */ jsxs6("fieldset", { className: "mbsf-card", disabled: locked, children: [
     /* @__PURE__ */ jsx6("legend", { className: "mbsf-legend", children: "Evaluation & service lines" }),
     /* @__PURE__ */ jsx6("p", { className: "mbsf-help", children: "Sets the evaluator/specialty modifier on medical-legal evaluation lines." }),
     /* @__PURE__ */ jsx6("div", { className: "mbsf-segments", role: "group", "aria-label": "Evaluation type", children: [["qme", "QME (default)"], ["ame", "AME"], ["psych_qme", "Psych QME"], ["psych_ame", "Psych AME"]].map(([type, label]) => /* @__PURE__ */ jsx6("button", { className: "mbsf-segment", type: "button", "aria-pressed": evaluationType === type, onClick: () => changeEvaluation(type), children: label }, type)) }),
     /* @__PURE__ */ jsx6("p", { className: "mbsf-help", children: evaluationType === "psych_ame" ? "Psychiatric or psychological AME \u2014 eligible ML evaluation codes default to modifiers -94 and -96." : evaluationType === "ame" ? "Agreed Medical Evaluator \u2014 eligible ML evaluation codes default to modifier -94." : evaluationType === "psych_qme" ? "Psychiatric or psychological QME \u2014 eligible ML evaluation codes default to modifiers -95 and -96 (-95 only for ML200 and MLPRR)." : "Qualified Medical Evaluator \u2014 eligible ML evaluation codes default to modifier -95." }),
+    /* @__PURE__ */ jsxs6("label", { className: "mbsf-diagnosis-toggle", children: [
+      /* @__PURE__ */ jsx6("input", { type: "checkbox", checked: sharedDiagnoses, onChange: (event) => toggleSharedDiagnoses(event.target.checked) }),
+      /* @__PURE__ */ jsx6("span", { children: "Apply the same diagnosis codes to all service lines" })
+    ] }),
+    sharedDiagnoses ? /* @__PURE__ */ jsx6(Field2, { path: "diagnoses", label: "Diagnosis codes (ICD-10)", required: true, error: errors.diagnoses, children: diagnosisSelector(bill.diagnoses ?? [], (codes) => {
+      individualDiagnoses.current = null;
+      setBill((current) => setBillSubmissionSharedDiagnoses(current, codes));
+    }) }) : null,
+    /* @__PURE__ */ jsx6("p", { className: "mbsf-help", children: "Choose up to 4 diagnosis codes per service line and 12 across the bill." }),
+    !sharedDiagnoses && errors.diagnoses ? /* @__PURE__ */ jsx6("p", { className: "mbsf-error", role: "alert", children: errors.diagnoses }) : null,
     procedureError ? /* @__PURE__ */ jsx6("p", { className: "mbsf-error", role: "alert", children: procedureError }) : null,
-    /* @__PURE__ */ jsxs6("div", { className: "mbsf-lines", "data-field-path": "serviceLines", "data-invalid": Boolean(errors.serviceLines), children: [
+    /* @__PURE__ */ jsxs6("div", { className: "mbsf-lines", ref: serviceLinesRef, "data-stacked": stackedServiceLines, "data-shared-diagnoses": sharedDiagnoses, "data-field-path": "serviceLines", "data-invalid": Boolean(errors.serviceLines), children: [
       /* @__PURE__ */ jsxs6("div", { className: "mbsf-line-head", children: [
         /* @__PURE__ */ jsxs6("span", { children: [
           "Procedure code",
           /* @__PURE__ */ jsx6(RequiredMark, {})
         ] }),
         /* @__PURE__ */ jsx6("span", { children: "Modifiers" }),
-        /* @__PURE__ */ jsx6("span", { children: "Dx" }),
+        !sharedDiagnoses ? /* @__PURE__ */ jsx6("span", { children: "Diagnosis codes" }) : null,
         /* @__PURE__ */ jsxs6("span", { children: [
           "Units",
           /* @__PURE__ */ jsx6(RequiredMark, {})
@@ -3630,16 +3693,10 @@ function BillSubmissionForm({
           ] }, modifier)) }),
           /* @__PURE__ */ jsx6(ComboBox, { ariaLabel: `Modifiers ${index + 1}`, disabled: locked, value: "", placeholder: line.modifiers?.length ?? 0 ? `${line.modifiers.length} modifier${line.modifiers.length === 1 ? "" : "s"}` : "Add modifiers\u2026", options: modifiers.filter((item) => !(line.modifiers ?? []).includes(item.code)).map((item) => ({ id: item.code, label: `\u2212${item.code}`, detail: item.description })), onSelect: (option) => setLine(index, { modifiers: [.../* @__PURE__ */ new Set([...line.modifiers ?? [], option.id])] }) })
         ] }),
-        /* @__PURE__ */ jsxs6("div", { "data-label": "Dx", "data-field-path": `serviceLines.${index}.diagnosisPointers`, "data-invalid": Boolean(errors[`serviceLines.${index}.diagnosisPointers`]), children: [
-          /* @__PURE__ */ jsx6("div", { className: "mbsf-line-diagnoses", children: [0, 1, 2, 3].map((slot) => {
-            const pointer = line.diagnosisPointers?.[slot];
-            const selectedCode = pointer ? bill.diagnoses?.[pointer - 1] ?? "" : "";
-            const selectedCodes = (line.diagnosisPointers ?? []).map((item) => bill.diagnoses?.[item - 1]);
-            const options = mergeDiagnosisOptions([...(bill.diagnoses ?? []).map((code) => ({ code, description: diagnosisChoices.find((item) => item.code === code)?.description ?? "" })), ...diagnosisChoices]).filter((item) => (!selectedCodes.includes(item.code) || item.code === selectedCode) && ((bill.diagnoses?.length ?? 0) < 12 || bill.diagnoses?.includes(item.code)));
-            return /* @__PURE__ */ jsx6(ComboBox, { ariaLabel: `Diagnosis ${slot + 1} for service line ${index + 1}`, disabled: locked, invalid: Boolean(errors[`serviceLines.${index}.diagnosisPointers`]), value: selectedCode, placeholder: `Dx ${slot + 1}`, loading: diagnosisLoading, loadingMore: diagnosisLoadingMore, options: [...selectedCode ? [{ id: "", label: "Clear diagnosis" }] : [], ...options.map((item) => ({ id: item.code, label: item.code, detail: item.description }))], onOpen: () => loadDiagnoses(""), onQuery: searchDiagnoses, onEndReached: () => loadDiagnoses(diagnosisQuery ?? "", true), onSelect: (option) => setBill((current) => setBillSubmissionLineDiagnosis(current, index, slot, option.id)) }, slot);
-          }) }),
+        !sharedDiagnoses ? /* @__PURE__ */ jsxs6("div", { className: "mbsf-line-diagnoses", "data-label": "Diagnosis codes (ICD-10)", "data-field-path": `serviceLines.${index}.diagnosisPointers`, "data-invalid": Boolean(errors[`serviceLines.${index}.diagnosisPointers`]), children: [
+          diagnosisSelector(billSubmissionLineDiagnosisCodes(bill, index), (codes) => setBill((current) => setBillSubmissionLineDiagnoses(current, index, codes)), index),
           errors[`serviceLines.${index}.diagnosisPointers`] ? /* @__PURE__ */ jsx6("small", { className: "mbsf-error", role: "alert", children: errors[`serviceLines.${index}.diagnosisPointers`] }) : null
-        ] }),
+        ] }) : null,
         /* @__PURE__ */ jsxs6("div", { "data-label": "Units", "data-field-path": `serviceLines.${index}.units`, "data-invalid": Boolean(errors[`serviceLines.${index}.units`]), children: [
           /* @__PURE__ */ jsx6("input", { className: "mbsf-input", "aria-label": `Units ${index + 1}`, "aria-invalid": Boolean(errors[`serviceLines.${index}.units`]), type: "number", min: 1, value: line.units ?? 1, onChange: (event) => setLine(index, { units: Number(event.target.value) }) }),
           errors[`serviceLines.${index}.units`] ? /* @__PURE__ */ jsx6("small", { className: "mbsf-error", role: "alert", children: errors[`serviceLines.${index}.units`] }) : null
@@ -3647,6 +3704,7 @@ function BillSubmissionForm({
         /* @__PURE__ */ jsx6("div", { className: "mbsf-money", "data-label": "Allowed", "data-field-path": `serviceLines.${index}.charge`, "data-invalid": Boolean(errors[`serviceLines.${index}.charge`]), children: lineCharge(line, index) == null ? quoteKeys[index] ? !supportedFeeJurisdiction || !quoteFee || !quoteInputs[index]?.dateOfService || feeQuotes[quoteKeys[index]] ? "Needs review" : "Checking\u2026" : "\u2014" : lineCharge(line, index).toLocaleString(void 0, { style: "currency", currency: "USD" }) }),
         /* @__PURE__ */ jsx6("button", { className: "mbsf-icon-btn", type: "button", "aria-label": `Remove service line ${index + 1}`, disabled: locked || !lineHasContent(line) && index === bill.serviceLines.length - 1, onClick: () => {
           setFeeDetails({});
+          if (individualDiagnoses.current) individualDiagnoses.current.splice(index, 1);
           setBill((c) => {
             const lines = c.serviceLines.filter((_, itemIndex) => itemIndex !== index);
             const populated = lines.filter((item) => item.code.trim());