Multi-Agent Framework Design

graph TD
    A[CPC Question Input] --> B[Question Analyzer Agent]
    B --> C{Question Classification}

    C -->|CPT Procedures| D[CPT Specialist Agent]
    C -->|HCPCS Equipment| E[HCPCS Specialist Agent]
    C -->|ICD-10 Diagnoses| F[ICD-10 Specialist Agent]
    C -->|Medical Knowledge| G[Medical Knowledge Agent]

    D --> H[Local Database APIs]
    E --> H
    F --> H
    G --> I[Web Search Tools]

    H --> J[Structured Analysis]
    I --> J

    J --> K{Confidence Check}
    K -->|High Confidence| L[Final Answer A/B/C/D]
    K -->|Low Confidence| M[Fallback Orchestrator]
    M --> L

    L --> N[Session Logger]
    N --> O[Performance Analytics]

Agent Specifications

1. Question Analyzer Agent

• Purpose: Intelligent question routing and classification
• Model: GPT-4o-mini for cost-effective analysis
• Capabilities:
  • 7-type question classification (CPT, HCPCS, ICD-10, Anatomy, Terminology, Guidelines, Compliance)
  • Key term extraction from medical text
  • Complexity assessment for optimal routing

2. CPT Specialist Agent

• Purpose: Current Procedural Terminology expert
• Expertise Domains:
  • Surgical procedures (10000-69999)
  • Anesthesia codes (00100-01999)
  • Radiology procedures (70000-79999)
  • Laboratory & pathology (80000-89999)
  • Evaluation & Management codes
• Tools: Local procedures database + Web search

3. HCPCS Specialist Agent

• Purpose: Healthcare Common Procedure Coding System Level II expert
• Specializations:
  • Durable Medical Equipment (DME)
  • Prosthetics and orthotics
  • Drugs and supplies
• Integration: Direct Clinical Tables NLM HCPCS database access

4. ICD-10 Specialist Agent

• Purpose: International Classification of Diseases expert
• Coverage: Complete ICD-10-CM diagnostic code set
• Features: Chapter-based classification, code validation
• Integration: Clinical Tables NLM ICD-10-CM database