# Accessibility bug reports — www.cms.gov, week 2026-W30

48 issue type(s) from 7180 pages scanned. Generated 2026-07-26 by [vital-scans](https://github.com/mgifford/vital-core), following [accessibility bug-reporting best practices](https://mgifford.github.io/ACCESSIBILITY.md/examples/ACCESSIBILITY_BUG_REPORTING_BEST_PRACTICES.html).

> Automated checks find roughly a third of accessibility barriers. Fields marked "requires manual testing" cannot be observed by an automated scan and need a human with assistive technology.

---
## Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)

**Bug ID:** `VS-e7edc668`  
**Pattern ID:** `VS-179ad9b3`  
**URL:** http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9  
**XPath / selector:** `<a href="#h3HcpcsCodesHeader" data-href="h3HcpcsCodesHeader" class="nav-link toc-link no-link log-click" title="Jump to CPT/HCPCS Codes">`  
**WCAG SC:** 2.5.8 — Target Size (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r113` ([reference](https://alfa.siteimprove.com/rules/sia-r113))  
**Severity:** Moderate  
**Frequency:** 339 instances; 176 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### Description
Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 176 of 7180 scanned pages (339 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9.
2. Locate the element: <a href="#h3HcpcsCodesHeader" data-href="h3HcpcsCodesHeader" class="nav-link toc-link no-link log-click" title="Jump to CPT/HCPCS Codes">
3. Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum).

### Impact
Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%).
- **Limited manipulation/strength** (13.0% of population)
- **Limited reach** (2.0% of population)
- **Limited vision** (2.4% of population)

### Affected pages
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57609&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55530&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=35
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57526&articleStatus=all&bc=3&sortBy=title&ver=90
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59066&articleStatus=all&bc=3&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54111&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=48
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57068&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=16
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56999&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=31
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57130&articleStatus=all&bc=3&sortBy=title&ver=51
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0328.html
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58973&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=27
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57576&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34220&ver=40
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54111&articleStatus=all&bc=3&sortBy=title&ver=50
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58434&articleStatus=all&bc=3&sortBy=title&ver=34
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56869&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56881&articleStatus=all&bc=3&sortBy=title&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54447&articleStatus=all&bc=3&sortBy=title&ver=26
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53304&articleStatus=all&bc=3&sortBy=title&ver=16
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57070&articleStatus=all&bc=3&sortBy=title&ver=16
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56460&articleStatus=all&bc=3&sortBy=title&ver=14
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0115.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58095&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=15
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52571&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=139

…and more — 176 pages total ([download CSV](csv/alfa__sia-r113.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113

### Example pages
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57609&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55530&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=35

---

## Accessible name of link or button matches visible label (WCAG 2.5.3)

**Bug ID:** `VS-76ef2efe`  
**Pattern ID:** `VS-f7dba940`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20  
**XPath / selector:** `<a id="aBasketManuButton" class="basket-icon log-click " title="View documents in your Basket" data-page-action="Clicked the Basket navbar link.">`  
**WCAG SC:** 2.5.3 — Label in Name (Level A)  
**Rule:** Siteimprove Alfa — `sia-r14` ([reference](https://alfa.siteimprove.com/rules/sia-r14))  
**Severity:** Moderate  
**Frequency:** 1185 instances; 464 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### Description
Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 464 of 7180 scanned pages (1185 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20.
2. Locate the element: <a id="aBasketManuButton" class="basket-icon log-click " title="View documents in your Basket" data-page-action="Clicked the Basket navbar link.">
3. Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name.

### Impact
Affects Without vision (1.0%), Without speech (0.5%).
- **Without vision** (1.0% of population)
- **Without speech** (0.5% of population)

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57609&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57436&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55530&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=35
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40255&proposedStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57526&articleStatus=all&bc=3&sortBy=title&ver=90
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=217&ncdver=6&sortBy=title
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59066&articleStatus=all&bc=3&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54111&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=48
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57068&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56631&ver=19
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38307&lcdStatus=all&sortBy=title&ver=14
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38755&lcdStatus=all&sortBy=title&ver=6
- https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?NCDId=146&ncdver=1
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?NCAId=265
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35160&lcdStatus=all&sortBy=title&ver=62
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56999&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=31
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54713&articleStatus=all&bc=3&sortBy=title&ver=4
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57130&articleStatus=all&bc=3&sortBy=title&ver=51
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35998&lcdStatus=all&sortBy=title&ver=36
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33791&lcdStatus=all&sortBy=title&stateRegion=all&ver=15
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35906&lcdStatus=all&sortBy=title&ver=25
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=58
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56336&articleStatus=all&bc=3&sortBy=title&ver=2

…and more — 464 pages total ([download CSV](csv/alfa__sia-r14.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57609&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10

---

## Images must have alternative text (WCAG 1.1.1)

**Bug ID:** `VS-b9bf37b0`  
**Pattern ID:** `VS-9074b4dd`  
**URL:** https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0323.html  
**XPath / selector:** `img[src$="cms-site-logo.png"]`  
**WCAG SC:** 1.1.1 — Non-text Content (Level A)  
**Rule:** axe-core — `image-alt` ([reference](https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 33 instances; 33 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (6 weeks)

### HTML snippet
```html
<img src="cms-site-logo.png">
```

### Description
Images must have alternative text. Detected by axe-core rule image-alt on 33 of 7180 scanned pages (33 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0323.html.
2. Locate the element: img[src$="cms-site-logo.png"]
3. Confirm the axe-core finding for rule image-alt against WCAG 1.1.1 Non-text Content.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0323.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0118.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0322.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0140.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0115.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0019.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0051.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0013.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0022.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0014.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0257.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0252.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0008.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0262.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0014.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0001.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0023.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0950.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0246.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0034.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0265.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0001.html
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=265
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0145.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0336.html

…and more — 33 pages total ([download CSV](csv/axe-core__image-alt.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Give every <img> a meaningful alt attribute. Use alt="" only for decorative images so screen readers skip them.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI

### Example pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0323.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0118.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0322.html

---

## Image has accessible name (WCAG 1.1.1)

**Bug ID:** `VS-cddc5943`  
**Pattern ID:** `VS-a24eaa8c`  
**URL:** https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0115.html  
**XPath / selector:** `<img src="cms-site-logo.png">`  
**WCAG SC:** 1.1.1 — Non-text Content (Level A)  
**Rule:** Siteimprove Alfa — `sia-r2` ([reference](https://alfa.siteimprove.com/rules/sia-r2))  
**Severity:** Moderate  
**Frequency:** 8 instances; 8 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (6 weeks)

### Description
Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 8 of 7180 scanned pages (8 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0115.html.
2. Locate the element: <img src="cms-site-logo.png">
3. Confirm the Siteimprove Alfa finding for rule sia-r2 against WCAG 1.1.1 Non-text Content.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0115.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0013.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0014.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0034.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0265.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0001.html
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=265
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0022.html

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Give every <img> an accessible name (alt text), or alt="" if purely decorative.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r2

### Example pages
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0115.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0013.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0014.html

---

## <ul> and <ol> must only directly contain <li>, <script> or <template> elements (WCAG 1.3.1)

**Bug ID:** `VS-6f7f611b`  
**Pattern ID:** `VS-a0bdbdf6`  
**URL:** https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A141&items_per_page=10&page=2&sort_by=search_api_relevance&sort_order=DESC  
**XPath / selector:** `.pager__items`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `list` ([reference](https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 2262 instances; 569 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### HTML snippet
```html
<ul class="pager__items js-pager__items cms-evo-unstyled-list ds-u-display--flex ds-u-justify-content--center">
```

### Description
<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 569 of 7180 scanned pages (2262 instances).

### Steps to reproduce
1. Open https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A141&items_per_page=10&page=2&sort_by=search_api_relevance&sort_order=DESC.
2. Locate the element: .pager__items
3. Confirm the axe-core finding for rule list against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A141&items_per_page=10&page=2&sort_by=search_api_relevance&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56786&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=73
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57609&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=newsroom_article_type%3A29601&f%5B2%5D=topic%3A21&f%5B3%5D=topic%3A61&f%5B4%5D=topic%3A76&f%5B5%5D=topic%3A176&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54767&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=71
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57526&articleStatus=all&bc=3&sortBy=title&ver=90
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34008&lcdStatus=all&sortBy=title&stateRegion=all&ver=23
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56416&articleStatus=all&bc=3&sortBy=title&ver=42
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33977&lcdStatus=all&sortBy=title&ver=18
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38307&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54191&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=27
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37421&lcdStatus=all&sortBy=title&ver=36
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A71&f%5B1%5D=topic%3A81&items_per_page=10&page=1&sort_by=search_api_relevance&sort_order=DESC
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35014&lcdStatus=all&sortBy=title&stateRegion=all&ver=39
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A66&f%5B1%5D=topic%3A111&items_per_page=10&sort_by=search_api_relevance&sort_order=DESC
- https://cms.gov/newsroom/search?f%5B0%5D=topic%3A101&f%5B1%5D=topic%3A436&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39859&ver=4
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34324&lcdStatus=all&sortBy=title&stateRegion=all&ver=34
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=newsroom_article_type%3A33316&f%5B2%5D=topic%3A71&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29581&f%5B1%5D=newsroom_article_type%3A29586&f%5B2%5D=topic%3A21&f%5B3%5D=topic%3A126&f%5B4%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40181&proposedStatus=all&sortBy=title&stateRegion=all&ver=8
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56329&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=4
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=58
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33733&lcdStatus=all&sortBy=title&ver=19
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33585&lcdStatus=all&sortBy=title&stateRegion=all&ver=34

…and more — 569 pages total ([download CSV](csv/axe-core__list.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Use <ul>/<ol> with only <li> children for lists; don't fake lists with <div>s.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI

### Example pages
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A141&items_per_page=10&page=2&sort_by=search_api_relevance&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56786&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=73
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57609&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10

---

## Table cell headers attributes must refer to other <th> elements in the same tabl (WCAG 1.3.1)

**Bug ID:** `VS-bd919a2a`  
**Pattern ID:** `VS-07ba3b17`  
**URL:** https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_issue_date&page=2&sort=asc  
**XPath / selector:** `.MsoTableGrid`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `td-headers-attr` ([reference](https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 3 instances; 3 of 7180 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W30 (6 weeks)

### HTML snippet
```html
<table class="MsoTableGrid">
```

### Description
Table cell headers attributes must refer to other <th> elements in the same tabl. Detected by axe-core rule td-headers-attr on 3 of 7180 scanned pages (3 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_issue_date&page=2&sort=asc.
2. Locate the element: .MsoTableGrid
3. Confirm the axe-core finding for rule td-headers-attr against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_issue_date&page=2&sort=asc
- http://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&sort=asc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_pe_number&page=8&sort=desc

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Associate data cells with their headers correctly using headers/id or scope.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI

### Example pages
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_issue_date&page=2&sort=asc
- http://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&sort=asc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_pe_number&page=8&sort=desc

---

## <li> elements must be contained in a <ul> or <ol> (WCAG 1.3.1)

**Bug ID:** `VS-aecfe775`  
**Pattern ID:** `VS-6175596b`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?=&bc=AAAAAAAAACAA&fromTracking=Y&ncaid=293&proposed=N  
**XPath / selector:** `font > li`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `listitem` ([reference](https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 6 instances; 2 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### HTML snippet
```html
<li>What are the long term outcomes and adverse events?</li>
```

### Description
<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 2 of 7180 scanned pages (6 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?=&bc=AAAAAAAAACAA&fromTracking=Y&ncaid=293&proposed=N.
2. Locate the element: font > li
3. Confirm the axe-core finding for rule listitem against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?=&bc=AAAAAAAAACAA&fromTracking=Y&ncaid=293&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=244&proposed=N

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** <li> must be inside a <ul> or <ol>.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?=&bc=AAAAAAAAACAA&fromTracking=Y&ncaid=293&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=244&proposed=N

---

## Presentational children of an element are not focusable (WCAG 1.3.1)

**Bug ID:** `VS-e8ff8e55`  
**Pattern ID:** `VS-d6097011`  
**URL:** https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40255&proposedStatus=all&sortBy=title  
**XPath / selector:** `<tfoot>`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r68` ([reference](https://alfa.siteimprove.com/rules/sia-r68))  
**Severity:** Moderate  
**Frequency:** 381 instances; 106 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### Description
Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 106 of 7180 scanned pages (381 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40255&proposedStatus=all&sortBy=title.
2. Locate the element: <tfoot>
3. Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40255&proposedStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38307&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?NCAId=265
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=58
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39256&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33585&lcdStatus=all&sortBy=title&stateRegion=all
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=35121&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34220&ver=40
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=35498&lcdStatus=all&sortBy=title&stateRegion=all
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36538&lcdStatus=all&sortBy=title&ver=17
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40058&lcdStatus=all&sortBy=title&ver=7
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34892&lcdStatus=all&sortBy=title&ver=123
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57070&articleStatus=all&bc=3&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/search-results.aspx?areaId=all&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=36358&sortBy=relevance
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36658&lcdStatus=all&sortBy=title&ver=22
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39242&lcdStatus=all&sortBy=title&stateRegion=all&ver=7
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39260&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39297&proposedStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33563&lcdStatus=all&sortBy=title&ver=27
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33578&lcdStatus=all&sortBy=title&ver=18
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39832&lcdStatus=all&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=35083&lcdStatus=all&sortBy=title&stateRegion=all
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=36700&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33626&ver=44
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0013.html

…and more — 106 pages total ([download CSV](csv/alfa__sia-r68.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68

### Example pages
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40255&proposedStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38307&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?NCAId=265

---

## Element has required aria-owns (WCAG 1.3.1)

**Bug ID:** `VS-aa7ecff9`  
**Pattern ID:** `VS-4408605e`  
**URL:** https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55530&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=35  
**XPath / selector:** `<th scope="col">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r46` ([reference](https://alfa.siteimprove.com/rules/sia-r46))  
**Severity:** Moderate  
**Frequency:** 90 instances; 58 of 7180 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W30 (6 weeks)

### Description
Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 58 of 7180 scanned pages (90 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55530&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=35.
2. Locate the element: <th scope="col">
3. Confirm the Siteimprove Alfa finding for rule sia-r46 against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55530&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=35
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54111&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=48
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57068&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56631&ver=19
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57130&articleStatus=all&bc=3&sortBy=title&ver=51
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54111&articleStatus=all&bc=3&sortBy=title&ver=50
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57070&articleStatus=all&bc=3&sortBy=title&ver=16
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56460&articleStatus=all&bc=3&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52571&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=139
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57607&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55231&articleStatus=all&bc=3&sortBy=title&ver=17
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57594&ver=20
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59641&ver=32
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57122&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=23
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56682&ver=49
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57189&articleStatus=all&bc=3&sortBy=title&ver=28
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57040&articleStatus=all&bc=3&sortBy=title&ver=23
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58573&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=13
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57608&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=16
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56647&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=32
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57706&articleStatus=all&bc=3&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52986&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=242
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57597&articleStatus=all&bc=3&sortBy=title&ver=22
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57684&ver=11
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53056&ver=14

…and more — 58 pages total ([download CSV](csv/alfa__sia-r46.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r46

### Example pages
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55530&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=35
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54111&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=48
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57068&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=16

---

## Element has required owned roles (WCAG 1.3.1)

**Bug ID:** `VS-84c9490d`  
**Pattern ID:** `VS-3c632d31`  
**URL:** https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0115.html  
**XPath / selector:** `<h1>`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r64` ([reference](https://alfa.siteimprove.com/rules/sia-r64))  
**Severity:** Moderate  
**Frequency:** 10 instances; 10 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### Description
Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 10 of 7180 scanned pages (10 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0115.html.
2. Locate the element: <h1>
3. Confirm the Siteimprove Alfa finding for rule sia-r64 against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0115.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0013.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0014.html
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2025-transmittals/r13270cp
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0034.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0265.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0001.html
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59487&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14
- https://cms.gov/newsroom/fact-sheets/calendar-year-2025-end-stage-renal-disease-esrd-prospective-payment-system-pps-proposed-rule-cms
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0022.html

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r64

### Example pages
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0115.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0013.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0014.html

---

## Table cell has header (WCAG 1.3.1)

**Bug ID:** `VS-84fbf3c1`  
**Pattern ID:** `VS-3f067795`  
**URL:** https://cms.gov/medicare-coverage-database/reports/national-coverage-medicare-coverage-documents-report.aspx?docTypeId=-1&sortBy=title&status=all  
**XPath / selector:** `<td data-exclude="true" class="row-basket">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r77` ([reference](https://alfa.siteimprove.com/rules/sia-r77))  
**Severity:** Moderate  
**Frequency:** 69 instances; 2 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### Description
Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 2 of 7180 scanned pages (69 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/reports/national-coverage-medicare-coverage-documents-report.aspx?docTypeId=-1&sortBy=title&status=all.
2. Locate the element: <td data-exclude="true" class="row-basket">
3. Confirm the Siteimprove Alfa finding for rule sia-r77 against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://cms.gov/medicare-coverage-database/reports/national-coverage-medicare-coverage-documents-report.aspx?docTypeId=-1&sortBy=title&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=211&ncdver=1

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r77

### Example pages
- https://cms.gov/medicare-coverage-database/reports/national-coverage-medicare-coverage-documents-report.aspx?docTypeId=-1&sortBy=title&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=211&ncdver=1

---

## aria-hidden element is not exposed to assistive technology (WCAG 1.3.1)

**Bug ID:** `VS-a366b045`  
**Pattern ID:** `VS-9207ed51`  
**URL:** https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_pe_number&page=8&sort=desc  
**XPath / selector:** `@headers="view-field-dyna-pe-number-table-column"`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r45` ([reference](https://alfa.siteimprove.com/rules/sia-r45))  
**Severity:** Moderate  
**Frequency:** 21 instances; 1 of 7180 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W30 (4 weeks)

### Description
aria-hidden element is not exposed to assistive technology. Detected by Siteimprove Alfa rule sia-r45 on 1 of 7180 scanned pages (21 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_pe_number&page=8&sort=desc.
2. Locate the element: @headers="view-field-dyna-pe-number-table-column"
3. Confirm the Siteimprove Alfa finding for rule sia-r45 against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_pe_number&page=8&sort=desc

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r45

---

## Links must be distinguishable without relying on color (WCAG 1.4.1)

**Bug ID:** `VS-34483610`  
**Pattern ID:** `VS-8ade3360`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33575&lcdStatus=all&sortBy=title&ver=40  
**XPath / selector:** `#lblProposedLcd > .system-link.log-click[target="_blank"]`  
**WCAG SC:** 1.4.1 — Use of Color (Level A)  
**Rule:** axe-core — `link-in-text-block` ([reference](https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1279 instances; 593 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### HTML snippet
```html
<a href="https://localcoverage.cms.gov/mcd_archive/view/lcd.aspx?lcdInfo=37245:11" target="_blank" class="log-click system-link" data-page-action="Clicked the Source Proposed LCD link">DL33575</a>
```

### Description
Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 593 of 7180 scanned pages (1279 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33575&lcdStatus=all&sortBy=title&ver=40.
2. Locate the element: #lblProposedLcd > .system-link.log-click[target="_blank"]
3. Confirm the axe-core finding for rule link-in-text-block against WCAG 1.4.1 Use of Color.

### Impact
Affects Without color perception (4.5%), Limited vision (2.4%).
- **Without color perception** (4.5% of population)
- **Limited vision** (2.4% of population)

### Affected pages
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33575&lcdStatus=all&sortBy=title&ver=40
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57436&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40199&ver=4
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56025&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=16
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39709&lcdStatus=all&sortBy=title&ver=3
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34413&lcdStatus=all&sortBy=title&ver=53
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39962&lcdStatus=all&sortBy=title&ver=4
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38307&lcdStatus=all&sortBy=title&ver=14
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38755&lcdStatus=all&sortBy=title&ver=6
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39711&lcdStatus=all&sortBy=title&stateRegion=all&ver=5
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38151&ver=9
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37628&lcdStatus=all&sortBy=title&ver=24
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37421&lcdStatus=all&sortBy=title&ver=36
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?NCAId=265
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39434&lcdStatus=all&sortBy=title&ver=7
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35014&lcdStatus=all&sortBy=title&stateRegion=all&ver=39
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39859&ver=4
- http://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=216
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34324&lcdStatus=all&sortBy=title&stateRegion=all&ver=34
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36704&lcdStatus=all&sortBy=title&stateRegion=all&ver=23
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40181&proposedStatus=all&sortBy=title&stateRegion=all&ver=8
- http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=ACAAAAAACAAAAA&ncaid=17&NcaName=Cardiac+Pacemakers
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35998&lcdStatus=all&sortBy=title&ver=36
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35906&lcdStatus=all&sortBy=title&ver=25
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=58

…and more — 593 pages total ([download CSV](csv/axe-core__link-in-text-block.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI

### Example pages
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33575&lcdStatus=all&sortBy=title&ver=40
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57436&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40199&ver=4

---

## Scrollable region must have keyboard access (WCAG 2.1.1)

**Bug ID:** `VS-8e24f8ce`  
**Pattern ID:** `VS-c613c153`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=296&proposed=Y  
**XPath / selector:** `pre`  
**WCAG SC:** 2.1.1 — Keyboard (Level A)  
**Rule:** axe-core — `scrollable-region-focusable` ([reference](https://dequeuniversity.com/rules/axe/4.12/scrollable-region-focusable?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 2 instances; 2 of 7180 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W30 (3 weeks)

### HTML snippet
```html
<pre>
```

### Description
Scrollable region must have keyboard access. Detected by axe-core rule scrollable-region-focusable on 2 of 7180 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=296&proposed=Y.
2. Locate the element: pre
3. Confirm the axe-core finding for rule scrollable-region-focusable against WCAG 2.1.1 Keyboard.

### Impact
Affects Without vision (1.0%), Limited manipulation/strength (13.0%), Limited reach (2.0%).
- **Without vision** (1.0% of population)
- **Limited manipulation/strength** (13.0% of population)
- **Limited reach** (2.0% of population)

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=296&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=311&proposed=Y

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Make scrollable regions keyboard-focusable (tabindex="0") so keyboard users can scroll them.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scrollable-region-focusable?application=axeAPI

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=296&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=311&proposed=Y

---

## Links must have discernible text (WCAG 2.4.4)

**Bug ID:** `VS-b284c492`  
**Pattern ID:** `VS-e9fe47ac`  
**URL:** https://cms.gov/newsroom/press-releases/trump-administration-finalizes-transformative-medicare-payment-changes-support-innovation-kidney  
**XPath / selector:** `span > a[data-once="linkMatch"]:nth-child(4)`  
**WCAG SC:** 2.4.4 — Link Purpose (In Context) (Level A)  
**Rule:** axe-core — `link-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 3 instances; 2 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### HTML snippet
```html
<a href="http://link.email.dy..." data-once="linkMatch">
```

### Description
Links must have discernible text. Detected by axe-core rule link-name on 2 of 7180 scanned pages (3 instances).

### Steps to reproduce
1. Open https://cms.gov/newsroom/press-releases/trump-administration-finalizes-transformative-medicare-payment-changes-support-innovation-kidney.
2. Locate the element: span > a[data-once="linkMatch"]:nth-child(4)
3. Confirm the axe-core finding for rule link-name against WCAG 2.4.4 Link Purpose (In Context).

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://cms.gov/newsroom/press-releases/trump-administration-finalizes-transformative-medicare-payment-changes-support-innovation-kidney
- https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Give the link discernible text. Avoid empty links and icon-only links without an aria-label.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI

### Example pages
- https://cms.gov/newsroom/press-releases/trump-administration-finalizes-transformative-medicare-payment-changes-support-innovation-kidney
- https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments

---

## Link has accessible name (WCAG 2.4.4)

**Bug ID:** `VS-65ff71a0`  
**Pattern ID:** `VS-28ebd979`  
**URL:** https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments  
**XPath / selector:** `<a href="/files/document/clia-cert-quick-start-guide.pdf" data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="27ce5119-858b-44f2-bbc6-c5d2d56ce4f0">`  
**WCAG SC:** 2.4.4 — Link Purpose (In Context) (Level A)  
**Rule:** Siteimprove Alfa — `sia-r11` ([reference](https://alfa.siteimprove.com/rules/sia-r11))  
**Severity:** Moderate  
**Frequency:** 2 instances; 1 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### Description
Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 1 of 7180 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments.
2. Locate the element: <a href="/files/document/clia-cert-quick-start-guide.pdf" data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="27ce5119-858b-44f2-bbc6-c5d2d56ce4f0">
3. Confirm the Siteimprove Alfa finding for rule sia-r11 against WCAG 2.4.4 Link Purpose (In Context).

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Give the link an accessible name via text content or aria-label.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r11

---

## <html> element must have a lang attribute (WCAG 3.1.1)

**Bug ID:** `VS-92c51a24`  
**Pattern ID:** `VS-c126b6a6`  
**URL:** https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0323.html  
**XPath / selector:** `html`  
**WCAG SC:** 3.1.1 — Language of Page (Level A)  
**Rule:** axe-core — `html-has-lang` ([reference](https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 58 instances; 58 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### HTML snippet
```html
<html>
```

### Description
<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 58 of 7180 scanned pages (58 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0323.html.
2. Locate the element: html
3. Confirm the axe-core finding for rule html-has-lang against WCAG 3.1.1 Language of Page.

### Impact
Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0323.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0118.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0322.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0328.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0140.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0115.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0019.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0655.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1515.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0051.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0013.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0022.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0014.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0419.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0176.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0257.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0261.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0252.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0008.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0262.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1167.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0756.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0014.html

…and more — 58 pages total ([download CSV](csv/axe-core__html-has-lang.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Add a lang attribute to <html> (e.g. lang="en").

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI

### Example pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0323.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0118.html

---

## Document has a valid lang attribute (WCAG 3.1.1)

**Bug ID:** `VS-9cac4c0f`  
**Pattern ID:** `VS-7a0e5645`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html  
**XPath / selector:** `<html>`  
**WCAG SC:** 3.1.1 — Language of Page (Level A)  
**Rule:** Siteimprove Alfa — `sia-r4` ([reference](https://alfa.siteimprove.com/rules/sia-r4))  
**Severity:** Moderate  
**Frequency:** 18 instances; 18 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### Description
Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 18 of 7180 scanned pages (18 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html.
2. Locate the element: <html>
3. Confirm the Siteimprove Alfa finding for rule sia-r4 against WCAG 3.1.1 Language of Page.

### Impact
Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0328.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0115.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1515.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0013.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0014.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0419.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0261.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0756.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0439.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0262.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0034.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1724.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0265.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1723.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0001.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0514.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0022.html

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Add a valid lang attribute to <html>.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r4

### Example pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0328.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0115.html

---

## Form elements must have labels (WCAG 4.1.2)

**Bug ID:** `VS-b8193fea`  
**Pattern ID:** `VS-fafffee0`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html  
**XPath / selector:** `#q`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `label` ([reference](https://dequeuniversity.com/rules/axe/4.12/label?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 26 instances; 26 of 7180 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W30 (5 weeks)

### HTML snippet
```html
<input type="text" name="q" id="q" value="Search now" size="10" maxlength="50" class="srchbox" onfocus="this.value='';">
```

### Description
Form elements must have labels. Detected by axe-core rule label on 26 of 7180 scanned pages (26 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html.
2. Locate the element: #q
3. Confirm the axe-core finding for rule label against WCAG 4.1.2 Name, Role, Value.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0328.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0655.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1515.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0419.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0176.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0261.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0010.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1167.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0756.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0439.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0461.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0262.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0152.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1724.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1723.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1524.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1214.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0067.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1173.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1328.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1145.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0251.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0882.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0514.html

…and more — 26 pages total ([download CSV](csv/axe-core__label.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Associate every form control with a <label> (via for/id) or an aria-label/aria-labelledby.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label?application=axeAPI

### Example pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0328.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0655.html

---

## Elements must meet minimum color contrast ratio thresholds (WCAG 1.4.3)

**Bug ID:** `VS-1a980d5e`  
**Pattern ID:** `VS-be8d563e`  
**URL:** http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36704&lcdStatus=all&sortBy=title&stateRegion=all&ver=23  
**XPath / selector:** `table[border="black"] > tbody > tr:nth-child(3) > td:nth-child(1)`  
**WCAG SC:** 1.4.3 — Contrast (Minimum) (Level AA)  
**Rule:** axe-core — `color-contrast` ([reference](https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 286 instances; 30 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### HTML snippet
```html
<td style="padding: 0px; box-sizing: border-box; background-color: green;">Clinicopathologic Findings</td>
```

### Description
Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 30 of 7180 scanned pages (286 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36704&lcdStatus=all&sortBy=title&stateRegion=all&ver=23.
2. Locate the element: table[border="black"] > tbody > tr:nth-child(3) > td:nth-child(1)
3. Confirm the axe-core finding for rule color-contrast against WCAG 1.4.3 Contrast (Minimum).

### Impact
Affects Limited vision (2.4%), Without color perception (4.5%).
- **Limited vision** (2.4% of population)
- **Without color perception** (4.5% of population)

### Affected pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36704&lcdStatus=all&sortBy=title&stateRegion=all&ver=23
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=296&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33718&ver=52
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&ver=57
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36706&lcdStatus=all&sortBy=title&ver=23
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39464&lcdStatus=all&sortBy=title&ver=8
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36665&ver=19
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=190&NCDSect=280.1
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33370&lcdStatus=all&sortBy=title&stateRegion=all&ver=58
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52508&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=39
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36706&lcdStatus=all&sortBy=title&stateRegion=all&ver=23
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39464&lcdStatus=all&sortBy=title&ver=4
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&stateRegion=all&ver=61
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39464&lcdStatus=all&sortBy=title&stateRegion=all&ver=8
- https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?NCAId=293
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?=&bc=AAAAAAAAACAA&fromTracking=Y&ncaid=293&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?areaId=all&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&ncaid=285&proposed=Y&sortBy=relevance
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&ver=53
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56190&articleStatus=all&bc=3&sortBy=title&ver=3
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33370&lcdStatus=all&sortBy=title&ver=55
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56142&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33370&lcdStatus=all&sortBy=title&stateRegion=all&ver=49
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36706&lcdStatus=all&sortBy=title&ver=20
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33832&lcdStatus=all&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&stateRegion=all&ver=57

…and more — 30 pages total ([download CSV](csv/axe-core__color-contrast.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Increase the contrast between text and its background to at least 4.5:1 (3:1 for large text). Check both light and dark modes.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI

### Example pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36704&lcdStatus=all&sortBy=title&stateRegion=all&ver=23
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=296&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33718&ver=52

---

## Text has sufficient color contrast (Enhanced) (WCAG 1.4.3)

**Bug ID:** `VS-90b59b61`  
**Pattern ID:** `VS-f7e99f4b`  
**URL:** https://cms.gov/priorities/innovation/innovation-models/vbid  
**XPath / selector:** `text: "Health Plan Models"`  
**WCAG SC:** 1.4.3 — Contrast (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r69` ([reference](https://alfa.siteimprove.com/rules/sia-r69))  
**Severity:** Moderate  
**Frequency:** 37 instances; 9 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### Description
Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 9 of 7180 scanned pages (37 instances).

### Steps to reproduce
1. Open https://cms.gov/priorities/innovation/innovation-models/vbid.
2. Locate the element: text: "Health Plan Models"
3. Confirm the Siteimprove Alfa finding for rule sia-r69 against WCAG 1.4.3 Contrast (Minimum).

### Impact
Affects Limited vision (2.4%), Without color perception (4.5%).
- **Limited vision** (2.4% of population)
- **Without color perception** (4.5% of population)

### Affected pages
- https://cms.gov/priorities/innovation/innovation-models/vbid
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36665&ver=19
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33370&lcdStatus=all&sortBy=title&stateRegion=all&ver=58
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52508&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=39
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&ver=53
- https://cms.gov/priorities/innovation/innovation-models/gpdc-model
- https://cms.gov/priorities/innovation/innovation-models/cjr
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33832&lcdStatus=all&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=311&proposed=Y

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Increase text contrast to meet WCAG AA (4.5:1, or 3:1 for large text).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r69

### Example pages
- https://cms.gov/priorities/innovation/innovation-models/vbid
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36665&ver=19
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33370&lcdStatus=all&sortBy=title&stateRegion=all&ver=58

---

## lang attribute must have a valid value (WCAG 3.1.2)

**Bug ID:** `VS-8f470a84`  
**Pattern ID:** `VS-dd1c019f`  
**URL:** https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings  
**XPath / selector:** `a[href$="#_ftnref1"] > span[lang="X-NONE"]`  
**WCAG SC:** 3.1.2 — Language of Parts (Level AA)  
**Rule:** axe-core — `valid-lang` ([reference](https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1 instances; 1 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### HTML snippet
```html
<span lang="X-NONE">[1]</span>
```

### Description
lang attribute must have a valid value. Detected by axe-core rule valid-lang on 1 of 7180 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings.
2. Locate the element: a[href$="#_ftnref1"] > span[lang="X-NONE"]
3. Confirm the axe-core finding for rule valid-lang against WCAG 3.1.2 Language of Parts.

### Impact
Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-24d460a3`  
**Pattern ID:** `VS-646b1e0b`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20  
**XPath / selector:** `text: "Here's how you know"`  
**WCAG SC:** 1.4.6 — Contrast (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r66` ([reference](https://alfa.siteimprove.com/rules/sia-r66))  
**Severity:** Moderate  
**Frequency:** 2704 instances; 467 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### Description
Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 467 of 7180 scanned pages (2704 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20.
2. Locate the element: text: "Here's how you know"
3. Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced).

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57609&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57436&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55530&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=35
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40255&proposedStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57526&articleStatus=all&bc=3&sortBy=title&ver=90
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=217&ncdver=6&sortBy=title
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59066&articleStatus=all&bc=3&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54111&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=48
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57068&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56631&ver=19
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38307&lcdStatus=all&sortBy=title&ver=14
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38755&lcdStatus=all&sortBy=title&ver=6
- https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?NCDId=146&ncdver=1
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?NCAId=265
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35160&lcdStatus=all&sortBy=title&ver=62
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56999&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=31
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54713&articleStatus=all&bc=3&sortBy=title&ver=4
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57130&articleStatus=all&bc=3&sortBy=title&ver=51
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35998&lcdStatus=all&sortBy=title&ver=36
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33791&lcdStatus=all&sortBy=title&stateRegion=all&ver=15
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35906&lcdStatus=all&sortBy=title&ver=25
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=58
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56336&articleStatus=all&bc=3&sortBy=title&ver=2

…and more — 467 pages total ([download CSV](csv/alfa__sia-r66.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Increase text contrast to meet WCAG AAA (7:1).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57609&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10

---

## Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)

**Bug ID:** `VS-b3a107a9`  
**Pattern ID:** `VS-2208081b`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20  
**XPath / selector:** `<p class="usa-banner__header-text">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r73` ([reference](https://alfa.siteimprove.com/rules/sia-r73))  
**Severity:** Moderate  
**Frequency:** 15970 instances; 1703 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### Description
Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 1703 of 7180 scanned pages (15970 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20.
2. Locate the element: <p class="usa-banner__header-text">
3. Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A81&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57609&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57436&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55530&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=35
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40255&proposedStatus=all&sortBy=title
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A21&f%5B2%5D=topic%3A46&f%5B3%5D=topic%3A61&f%5B4%5D=topic%3A161&f%5B5%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57526&articleStatus=all&bc=3&sortBy=title&ver=90
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=217&ncdver=6&sortBy=title
- http://www.cms.gov/glossary?items_per_page=10&order=body&page=4&sort=asc&term=&viewmode=grid
- https://cms.gov/newsroom/search?f%5B0%5D=topic%3A56&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A101&f%5B3%5D=topic%3A141&f%5B4%5D=topic%3A841&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59066&articleStatus=all&bc=3&sortBy=title&ver=10
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2025-transmittals?items_per_page=25&order=field_dyna_pe_number&page=8&sort=desc
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2016-transmittals-items/r1732otn
- https://cms.gov/about-cms/contact/directory/1-800-medicare/1550766
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A46&f%5B2%5D=topic%3A76&f%5B3%5D=topic%3A81&f%5B4%5D=topic%3A101&f%5B5%5D=topic%3A106&f%5B6%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54111&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=48
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57068&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=16
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A66&f%5B1%5D=topic%3A81&f%5B2%5D=topic%3A116&f%5B3%5D=topic%3A231&f%5B4%5D=topic%3A356&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/search?f%5B0%5D=topic%3A66&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A81&f%5B3%5D=topic%3A161&f%5B4%5D=topic%3A231&f%5B5%5D=topic%3A456&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29581&f%5B1%5D=topic%3A21&f%5B2%5D=topic%3A46&f%5B3%5D=topic%3A126&f%5B4%5D=topic%3A176&f%5B5%5D=topic%3A221&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A46&f%5B2%5D=topic%3A76&f%5B3%5D=topic%3A126&f%5B4%5D=topic%3A176&f%5B5%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2015-transmittals-items/r590pi
- http://cms.gov/cciio/resources/data-resources/2014-2016-ehb-benchmarkplans

…and more — 1703 pages total ([download CSV](csv/alfa__sia-r73.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A81&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC

---

## Link is distinguishable without relying on color (WCAG 1.4.8)

**Bug ID:** `VS-8d972683`  
**Pattern ID:** `VS-fbf54eba`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20  
**XPath / selector:** `<p class="mb-2">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r74` ([reference](https://alfa.siteimprove.com/rules/sia-r74))  
**Severity:** Moderate  
**Frequency:** 32158 instances; 465 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### Description
Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 465 of 7180 scanned pages (32158 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20.
2. Locate the element: <p class="mb-2">
3. Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57609&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57436&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55530&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=35
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40255&proposedStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57526&articleStatus=all&bc=3&sortBy=title&ver=90
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=217&ncdver=6&sortBy=title
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59066&articleStatus=all&bc=3&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54111&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=48
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57068&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56631&ver=19
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38307&lcdStatus=all&sortBy=title&ver=14
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38755&lcdStatus=all&sortBy=title&ver=6
- https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?NCDId=146&ncdver=1
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?NCAId=265
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35160&lcdStatus=all&sortBy=title&ver=62
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56999&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=31
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54713&articleStatus=all&bc=3&sortBy=title&ver=4
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57130&articleStatus=all&bc=3&sortBy=title&ver=51
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35998&lcdStatus=all&sortBy=title&ver=36
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33791&lcdStatus=all&sortBy=title&stateRegion=all&ver=15
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35906&lcdStatus=all&sortBy=title&ver=25
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=58
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56336&articleStatus=all&bc=3&sortBy=title&ver=2

…and more — 465 pages total ([download CSV](csv/alfa__sia-r74.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57609&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10

---

## Scrollable element is keyboard accessible (WCAG 1.4.8)

**Bug ID:** `VS-d1e22b89`  
**Pattern ID:** `VS-388b5438`  
**URL:** http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59066&articleStatus=all&bc=3&sortBy=title&ver=10  
**XPath / selector:** `<p style="line-height: 11.4pt;">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r80` ([reference](https://alfa.siteimprove.com/rules/sia-r80))  
**Severity:** Moderate  
**Frequency:** 399 instances; 34 of 7180 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W30 (6 weeks)

### Description
Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 34 of 7180 scanned pages (399 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59066&articleStatus=all&bc=3&sortBy=title&ver=10.
2. Locate the element: <p style="line-height: 11.4pt;">
3. Confirm the Siteimprove Alfa finding for rule sia-r80 against WCAG 1.4.8 Visual Presentation.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59066&articleStatus=all&bc=3&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=58
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38777&lcdStatus=all&sortBy=title&ver=7
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34892&lcdStatus=all&sortBy=title&ver=123
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39242&lcdStatus=all&sortBy=title&stateRegion=all&ver=7
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58218&articleStatus=all&bc=3&sortBy=title&ver=17
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=35076&sortBy=relevance&ver=57
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34372&lcdStatus=all&sortBy=title&ver=22
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38033&lcdStatus=all&sortBy=title&ver=13
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58183&articleStatus=all&bc=3&sortBy=title&ver=16
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56329&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38737&lcdStatus=all&sortBy=title&ver=19
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54795&ver=42
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38151&ver=6
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38339&lcdStatus=all&sortBy=title&stateRegion=all&ver=17
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35076&lcdStatus=all&sortBy=title&ver=57
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38201&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53043&articleStatus=all&bc=3&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39851&lcdStatus=all&sortBy=title&ver=15
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37832&lcdStatus=all&sortBy=title&ver=23
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38249&lcdStatus=all&sortBy=title&ver=22
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59866&ver=6
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55685&articleStatus=all&bc=3&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&stateRegion=all&ver=32
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38771&ver=18

…and more — 34 pages total ([download CSV](csv/alfa__sia-r80.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r80

### Example pages
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59066&articleStatus=all&bc=3&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=58
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38777&lcdStatus=all&sortBy=title&ver=7

---

## iframe element is not empty (WCAG 1.4.8)

**Bug ID:** `VS-eb792e97`  
**Pattern ID:** `VS-48291402`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=58  
**XPath / selector:** `<p style="text-align: justify; line-height: 14.15pt;">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r71` ([reference](https://alfa.siteimprove.com/rules/sia-r71))  
**Severity:** Moderate  
**Frequency:** 188 instances; 18 of 7180 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W30 (6 weeks)

### Description
iframe element is not empty. Detected by Siteimprove Alfa rule sia-r71 on 18 of 7180 scanned pages (188 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=58.
2. Locate the element: <p style="text-align: justify; line-height: 14.15pt;">
3. Confirm the Siteimprove Alfa finding for rule sia-r71 against WCAG 1.4.8 Visual Presentation.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=58
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39242&lcdStatus=all&sortBy=title&stateRegion=all&ver=7
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39832&lcdStatus=all&sortBy=title&ver=11
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58183&articleStatus=all&bc=3&sortBy=title&ver=16
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56329&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39832&lcdStatus=all&sortBy=title&stateRegion=all&ver=13
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56241&articleStatus=all&bc=3&sortBy=title&ver=8
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58456&articleStatus=all&bc=3&sortBy=title&ver=43
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38151&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34544&lcdStatus=all&sortBy=title&stateRegion=all&ver=47
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38339&lcdStatus=all&sortBy=title&stateRegion=all&ver=17
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38576&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=33794&proposedStatus=all&sortBy=title&ver=153
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36044&lcdStatus=all&sortBy=title&stateRegion=all&ver=59
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58928&articleStatus=all&bc=3&sortBy=title&ver=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&stateRegion=all&ver=32
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59651&articleStatus=all&bc=3&sortBy=title&ver=2
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39616&lcdStatus=all&sortBy=title&ver=5

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r71

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=58
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39242&lcdStatus=all&sortBy=title&stateRegion=all&ver=7
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39832&lcdStatus=all&sortBy=title&ver=11

---

## Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)

**Bug ID:** `VS-10977299`  
**Pattern ID:** `VS-cb53cc4d`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20  
**XPath / selector:** `<a href="#h3IssueHeader" data-href="h3IssueHeader" class="nav-link toc-link no-link log-click" title="Jump to Issue">`  
**WCAG SC:** 2.5.5 — Target Size (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r111` ([reference](https://alfa.siteimprove.com/rules/sia-r111))  
**Severity:** Moderate  
**Frequency:** 65923 instances; 1709 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### Description
Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 1709 of 7180 scanned pages (65923 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20.
2. Locate the element: <a href="#h3IssueHeader" data-href="h3IssueHeader" class="nav-link toc-link no-link log-click" title="Jump to Issue">
3. Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced).

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A81&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57609&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57436&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55530&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=35
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40255&proposedStatus=all&sortBy=title
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A21&f%5B2%5D=topic%3A46&f%5B3%5D=topic%3A61&f%5B4%5D=topic%3A161&f%5B5%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57526&articleStatus=all&bc=3&sortBy=title&ver=90
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=217&ncdver=6&sortBy=title
- http://www.cms.gov/glossary?items_per_page=10&order=body&page=4&sort=asc&term=&viewmode=grid
- https://cms.gov/newsroom/search?f%5B0%5D=topic%3A56&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A101&f%5B3%5D=topic%3A141&f%5B4%5D=topic%3A841&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59066&articleStatus=all&bc=3&sortBy=title&ver=10
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2025-transmittals?items_per_page=25&order=field_dyna_pe_number&page=8&sort=desc
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2016-transmittals-items/r1732otn
- https://cms.gov/about-cms/contact/directory/1-800-medicare/1550766
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A46&f%5B2%5D=topic%3A76&f%5B3%5D=topic%3A81&f%5B4%5D=topic%3A101&f%5B5%5D=topic%3A106&f%5B6%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54111&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=48
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57068&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=16
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A66&f%5B1%5D=topic%3A81&f%5B2%5D=topic%3A116&f%5B3%5D=topic%3A231&f%5B4%5D=topic%3A356&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/search?f%5B0%5D=topic%3A66&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A81&f%5B3%5D=topic%3A161&f%5B4%5D=topic%3A231&f%5B5%5D=topic%3A456&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29581&f%5B1%5D=topic%3A21&f%5B2%5D=topic%3A46&f%5B3%5D=topic%3A126&f%5B4%5D=topic%3A176&f%5B5%5D=topic%3A221&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A46&f%5B2%5D=topic%3A76&f%5B3%5D=topic%3A126&f%5B4%5D=topic%3A176&f%5B5%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2015-transmittals-items/r590pi
- http://cms.gov/cciio/resources/data-resources/2014-2016-ehb-benchmarkplans

…and more — 1709 pages total ([download CSV](csv/alfa__sia-r111.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A81&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC

---

## accesskey attribute value should be unique (WCAG criterion undetermined)

**Bug ID:** `VS-9d00d38d`  
**Pattern ID:** `VS-bd13f00a`  
**URL:** https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0013.html  
**XPath / selector:** `td[width="31"]:nth-child(3) > a[accesskey="p"][href$="P0012.html"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `accesskeys` ([reference](https://dequeuniversity.com/rules/axe/4.12/accesskeys?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 10 instances; 4 of 7180 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W30 (4 weeks)

### HTML snippet
```html
<a accesskey="p" id="prev_page" href="P0012.html"><img src="bakpg.png" alt="Previous Page [Alt-p]" height="14" width="31" vspace="0" hspace="0" align="bottom" border="0"></a>
```

### Description
accesskey attribute value should be unique. Detected by axe-core rule accesskeys on 4 of 7180 scanned pages (10 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0013.html.
2. Locate the element: td[width="31"]:nth-child(3) > a[accesskey="p"][href$="P0012.html"]
3. Confirm the axe-core finding for rule accesskeys.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0013.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0246.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0001.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0019.html

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/accesskeys?application=axeAPI

### Example pages
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0013.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0246.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0001.html

---

## Heading levels should only increase by one (WCAG criterion undetermined)

**Bug ID:** `VS-4bdae545`  
**Pattern ID:** `VS-d25f622d`  
**URL:** http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=37022&lcdStatus=all&sortBy=title  
**XPath / selector:** `#navStickyHeader`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `heading-order` ([reference](https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 369 instances; 360 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### HTML snippet
```html
<h3 id="navStickyHeader" class="bg-white d-inline expand-head-pad">Report Information</h3>
```

### Description
Heading levels should only increase by one. Detected by axe-core rule heading-order on 360 of 7180 scanned pages (369 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=37022&lcdStatus=all&sortBy=title.
2. Locate the element: #navStickyHeader
3. Confirm the axe-core finding for rule heading-order.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=37022&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40255&proposedStatus=all&sortBy=title
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A21&f%5B2%5D=topic%3A46&f%5B3%5D=topic%3A61&f%5B4%5D=topic%3A161&f%5B5%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=33467&lcdStatus=all&sortBy=title
- https://www.cms.gov/apps/aha/license.asp?file=%2Ffiles%2Fzip%2Fi%2Foce-pc-software-package-v241r0.zip
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A66&f%5B2%5D=topic%3A116&f%5B3%5D=topic%3A136&f%5B4%5D=topic%3A436&items_per_page=10&sort_by=search_api_relevance&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=160&NcaName=Bariatric+Surgery+for+the+Treatment+of+Morbid+Obesity+%281st+Recon%29&ver=30
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A46&f%5B2%5D=topic%3A76&f%5B3%5D=topic%3A126&f%5B4%5D=topic%3A176&f%5B5%5D=topic%3A231&f%5B6%5D=topic%3A436&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/About-CMS/Agency-Information/OMH/OMH-Mapping-Medicare-Disparities.html
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=33369&lcdStatus=all&sortBy=title
- https://www.cms.gov/newsroom/fact-sheets/cms-issues-final-rule-first-year-hospital-value-based-purchasing-program
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A21&f%5B2%5D=topic%3A61&f%5B3%5D=topic%3A231&f%5B4%5D=topic%3A441&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://www.cms.gov/priorities/health-equity/minority-health/resource-center/moving-forward-after-covid-19-public-health-emergency
- https://www.cms.gov/medicare/payment/fee-for-service-providers/shared-savings-program-ssp-acos/guidance-regulations
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=35136&lcdStatus=all&sortBy=title
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A41&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A286&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/medicare/coverage/investigational-device-exemption-ide-studies
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=34380&lcdStatus=all&sortBy=title&stateRegion=all
- http://cms.gov/priorities/health-equity/minority-health/equity-programs/technical-assistance
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=33411&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39256&lcdStatus=all&sortBy=title
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A33316&f%5B1%5D=topic%3A671&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/cjr/archived-materials
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33585&lcdStatus=all&sortBy=title&stateRegion=all
- https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2FASCPayment%2FDownloads%2F2019-Apr-ASC-Addenda.zip

…and more — 360 pages total ([download CSV](csv/axe-core__heading-order.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI

### Example pages
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=37022&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40255&proposedStatus=all&sortBy=title
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A21&f%5B2%5D=topic%3A46&f%5B3%5D=topic%3A61&f%5B4%5D=topic%3A161&f%5B5%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC

---

## Document should have one main landmark (WCAG criterion undetermined)

**Bug ID:** `VS-4a80b9b5`  
**Pattern ID:** `VS-d5d82446`  
**URL:** https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0323.html  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-one-main` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 61 instances; 61 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### HTML snippet
```html
<html>
```

### Description
Document should have one main landmark. Detected by axe-core rule landmark-one-main on 61 of 7180 scanned pages (61 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0323.html.
2. Locate the element: html
3. Confirm the axe-core finding for rule landmark-one-main.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0323.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0118.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0322.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0328.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0140.html
- https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/html/medicare-payment-systems.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0115.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0019.html
- https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/html/medicare-payment-systems.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0655.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1515.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0051.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0013.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0022.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0014.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0419.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0176.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0257.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0261.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0252.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0008.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0262.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1167.html

…and more — 61 pages total ([download CSV](csv/axe-core__landmark-one-main.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Each page should have exactly one <main> landmark.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI

### Example pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0323.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0118.html

---

## All page content should be contained by landmarks (WCAG criterion undetermined)

**Bug ID:** `VS-c81eb184`  
**Pattern ID:** `VS-f18df681`  
**URL:** https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0323.html  
**XPath / selector:** `.arrows > tbody > tr:nth-child(1)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `region` ([reference](https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1445 instances; 61 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### HTML snippet
```html
<tr>
		<td><img src="cms-site-logo.png"></td>
		<td style="text-align:center;"><h1>ICD-10-CM/PCS MS-DRG v38.0 R1 Definitions Manual</h1><h1></h1></td>
		<td></td>
		<td></td>
		<td></td>
	</tr>
```

### Description
All page content should be contained by landmarks. Detected by axe-core rule region on 61 of 7180 scanned pages (1445 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0323.html.
2. Locate the element: .arrows > tbody > tr:nth-child(1)
3. Confirm the axe-core finding for rule region.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0323.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0118.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0322.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0328.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0140.html
- https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/html/medicare-payment-systems.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0115.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0019.html
- https://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/html/medicare-payment-systems.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0655.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1515.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0051.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0013.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0022.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0014.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0419.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0176.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0257.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0261.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0252.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0008.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0262.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1167.html

…and more — 61 pages total ([download CSV](csv/axe-core__region.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI

### Example pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0323.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0118.html

---

## Page should contain a level-one heading (WCAG criterion undetermined)

**Bug ID:** `VS-11a43c3c`  
**Pattern ID:** `VS-fa44f293`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `page-has-heading-one` ([reference](https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 39 instances; 39 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### HTML snippet
```html
<html>
```

### Description
Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 39 of 7180 scanned pages (39 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html.
2. Locate the element: html
3. Confirm the axe-core finding for rule page-has-heading-one.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0328.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0655.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1515.html
- https://www.cms.gov/priorities/key-initiatives/hospital-price-transparency/resources
- https://www.cms.gov/search/cms/help
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0419.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0176.html
- https://www.cms.gov/derechos-facturas-medicas/ayuda/guias/explicacion-de-beneficios
- https://www.cms.gov/data-research/cms-information-technology/tlc
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0261.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0010.html
- https://www.cms.gov/derechos-facturas-medicas/ayuda
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1167.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0756.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0439.html
- https://www.cms.gov/medicare/medicaid-coordination/states/medicaid-integrity-program
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0461.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0262.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0152.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1724.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1723.html
- https://www.cms.gov/helpful-things-know
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1524.html
- http://cms.gov/medicare/medicaid-coordination/healthcare-fraud-prevention-partnership/become-partner

…and more — 39 pages total ([download CSV](csv/axe-core__page-has-heading-one.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI

### Example pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0328.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0655.html

---

## scope attribute should be used correctly (WCAG criterion undetermined)

**Bug ID:** `VS-64cf4fd4`  
**Pattern ID:** `VS-0ba8ce9d`  
**URL:** https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=160&NcaName=Bariatric+Surgery+for+the+Treatment+of+Morbid+Obesity+%281st+Recon%29&ver=30  
**XPath / selector:** `tr:nth-child(4) > td[scope="row"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `scope-attr-valid` ([reference](https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 484 instances; 20 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### HTML snippet
```html
<td valign="top" scope="row">  <p>Hospital type</p>  </td>
```

### Description
scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 20 of 7180 scanned pages (484 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=160&NcaName=Bariatric+Surgery+for+the+Treatment+of+Morbid+Obesity+%281st+Recon%29&ver=30.
2. Locate the element: tr:nth-child(4) > td[scope="row"]
3. Confirm the axe-core finding for rule scope-attr-valid.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=160&NcaName=Bariatric+Surgery+for+the+Treatment+of+Morbid+Obesity+%281st+Recon%29&ver=30
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=109&proposed=N
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=39&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=160&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/technology-assessments.aspx?bc=20&sortBy=title&taid=18&year=0
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=190&NCDSect=280.1
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=214&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=26&sortBy=title&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?areaId=all&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&ncaid=285&proposed=Y&sortBy=relevance
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?areaId=all&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&fromTracking=Y&keyword=permanent+cardiac&keywordType=starts&ncaid=267&proposed=N&sortBy=relevance
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=119&NCDver=3
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=244&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?=%2C&bc=BEAAAAAAAQAAAA%3D%3D&ncdid=190&NCDSect=280.1&ncdver=1
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=265
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38571&lcdStatus=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=204&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=19&sortBy=title&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=211&ncdver=1
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=77
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=169

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI

### Example pages
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=160&NcaName=Bariatric+Surgery+for+the+Treatment+of+Morbid+Obesity+%281st+Recon%29&ver=30
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=109&proposed=N
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=39&proposed=N

---

## Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)

**Bug ID:** `VS-32ccc20b`  
**Pattern ID:** `VS-8806389c`  
**URL:** https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2015-Fact-sheets-items/2015-11-10.html  
**XPath / selector:** `.views-field-field-topic[aria-label="Related search topics"][role="region"]:nth-child(1)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-unique` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 3 instances; 3 of 7180 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W30 (6 weeks)

### HTML snippet
```html
<span class="views-field views-field-field-topic" role="region" aria-label="Related search topics">
<a href="/newsroom/search?sort_by=search_api_relevance&amp;sort_order=DESC&amp;items_per_page=10&amp
```

### Description
Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 3 of 7180 scanned pages (3 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2015-Fact-sheets-items/2015-11-10.html.
2. Locate the element: .views-field-field-topic[aria-label="Related search topics"][role="region"]:nth-child(1)
3. Confirm the axe-core finding for rule landmark-unique.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2015-Fact-sheets-items/2015-11-10.html
- https://www.cms.gov/about-cms/contact/newsroom
- https://cms.gov/apps/media/press_releases.asp

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** When a landmark role/type repeats (e.g. two <nav>s), give each a distinct accessible name with aria-label or aria-labelledby (e.g. "Primary" and "Footer" navigation) so screen-reader users can tell them apart.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI

### Example pages
- https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2015-Fact-sheets-items/2015-11-10.html
- https://www.cms.gov/about-cms/contact/newsroom
- https://cms.gov/apps/media/press_releases.asp

---

## Headings should not be empty (WCAG criterion undetermined)

**Bug ID:** `VS-3a6f28dd`  
**Pattern ID:** `VS-0066c67d`  
**URL:** https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0323.html  
**XPath / selector:** `h1:nth-child(2)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `empty-heading` ([reference](https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 41 instances; 41 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### HTML snippet
```html
<h1></h1>
```

### Description
Headings should not be empty. Detected by axe-core rule empty-heading on 41 of 7180 scanned pages (41 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0323.html.
2. Locate the element: h1:nth-child(2)
3. Confirm the axe-core finding for rule empty-heading.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0323.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0118.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0322.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0140.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0115.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0019.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0051.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0013.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0022.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0014.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0257.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0252.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0008.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0262.html
- https://www.cms.gov/about-cms/what-we-do/nursing-homes
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0014.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0001.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0023.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0950.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0246.html
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2025-transmittals/r13270cp
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0034.html
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59487&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0265.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0001.html

…and more — 41 pages total ([download CSV](csv/axe-core__empty-heading.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Remove empty headings or give them text. Don't use heading tags for spacing.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI

### Example pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0323.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0118.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0322.html

---

## Table header text should not be empty (WCAG criterion undetermined)

**Bug ID:** `VS-7139a131`  
**Pattern ID:** `VS-d69fc059`  
**URL:** https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36889&lcdStatus=all&sortBy=title&ver=25  
**XPath / selector:** `tbody > tr > th`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `empty-table-header` ([reference](https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 17 instances; 11 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### HTML snippet
```html
<th>&nbsp;</th>
```

### Description
Table header text should not be empty. Detected by axe-core rule empty-table-header on 11 of 7180 scanned pages (17 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36889&lcdStatus=all&sortBy=title&ver=25.
2. Locate the element: tbody > tr > th
3. Confirm the axe-core finding for rule empty-table-header.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36889&lcdStatus=all&sortBy=title&ver=25
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36868&lcdStatus=all&sortBy=title&ver=25
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36868&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56142&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2
- http://cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=76
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55659&articleStatus=all&bc=3&sortBy=title&ver=2
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=6&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=211&ncdver=1
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=77
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36889&lcdStatus=all&sortBy=title&ver=24
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36868&ver=25

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI

### Example pages
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36889&lcdStatus=all&sortBy=title&ver=25
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36868&lcdStatus=all&sortBy=title&ver=25
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36868&lcdStatus=all&sortBy=title&ver=16

---

## Form field label is visible (WCAG criterion undetermined)

**Bug ID:** `VS-18135954`  
**Pattern ID:** `VS-7118fead`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r61` ([reference](https://alfa.siteimprove.com/rules/sia-r61))  
**Severity:** Moderate  
**Frequency:** 1691 instances; 1691 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### Description
Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 1691 of 7180 scanned pages (1691 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r61.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A81&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57609&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57436&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55530&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=35
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40255&proposedStatus=all&sortBy=title
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A21&f%5B2%5D=topic%3A46&f%5B3%5D=topic%3A61&f%5B4%5D=topic%3A161&f%5B5%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57526&articleStatus=all&bc=3&sortBy=title&ver=90
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=217&ncdver=6&sortBy=title
- http://www.cms.gov/glossary?items_per_page=10&order=body&page=4&sort=asc&term=&viewmode=grid
- https://cms.gov/newsroom/search?f%5B0%5D=topic%3A56&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A101&f%5B3%5D=topic%3A141&f%5B4%5D=topic%3A841&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59066&articleStatus=all&bc=3&sortBy=title&ver=10
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2025-transmittals?items_per_page=25&order=field_dyna_pe_number&page=8&sort=desc
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2016-transmittals-items/r1732otn
- https://cms.gov/about-cms/contact/directory/1-800-medicare/1550766
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A46&f%5B2%5D=topic%3A76&f%5B3%5D=topic%3A81&f%5B4%5D=topic%3A101&f%5B5%5D=topic%3A106&f%5B6%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54111&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=48
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57068&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=16
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A66&f%5B1%5D=topic%3A81&f%5B2%5D=topic%3A116&f%5B3%5D=topic%3A231&f%5B4%5D=topic%3A356&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/search?f%5B0%5D=topic%3A66&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A81&f%5B3%5D=topic%3A161&f%5B4%5D=topic%3A231&f%5B5%5D=topic%3A456&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29581&f%5B1%5D=topic%3A21&f%5B2%5D=topic%3A46&f%5B3%5D=topic%3A126&f%5B4%5D=topic%3A176&f%5B5%5D=topic%3A221&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A46&f%5B2%5D=topic%3A76&f%5B3%5D=topic%3A126&f%5B4%5D=topic%3A176&f%5B5%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2015-transmittals-items/r590pi
- http://cms.gov/cciio/resources/data-resources/2014-2016-ehb-benchmarkplans

…and more — 1691 pages total ([download CSV](csv/alfa__sia-r61.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A81&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC

---

## Scrolling content can be accessed by keyboard (WCAG criterion undetermined)

**Bug ID:** `VS-91b8e58c`  
**Pattern ID:** `VS-c18be945`  
**URL:** https://cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A81&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC  
**XPath / selector:** `text: "Feedback"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 787 instances; 787 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### Description
Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 787 of 7180 scanned pages (787 instances).

### Steps to reproduce
1. Open https://cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A81&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC.
2. Locate the element: text: "Feedback"
3. Confirm the Siteimprove Alfa finding for rule sia-r57.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A81&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A21&f%5B2%5D=topic%3A46&f%5B3%5D=topic%3A61&f%5B4%5D=topic%3A161&f%5B5%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://www.cms.gov/glossary?items_per_page=10&order=body&page=4&sort=asc&term=&viewmode=grid
- https://cms.gov/newsroom/search?f%5B0%5D=topic%3A56&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A101&f%5B3%5D=topic%3A141&f%5B4%5D=topic%3A841&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2016-transmittals-items/r1732otn
- https://cms.gov/about-cms/contact/directory/1-800-medicare/1550766
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A46&f%5B2%5D=topic%3A76&f%5B3%5D=topic%3A81&f%5B4%5D=topic%3A101&f%5B5%5D=topic%3A106&f%5B6%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A46&f%5B2%5D=topic%3A76&f%5B3%5D=topic%3A126&f%5B4%5D=topic%3A176&f%5B5%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://cms.gov/cciio/resources/data-resources/2014-2016-ehb-benchmarkplans
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29581&f%5B1%5D=newsroom_article_type%3A29586&f%5B2%5D=topic%3A46&f%5B3%5D=topic%3A231&f%5B4%5D=topic%3A446&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://cms.gov/about-cms/information-systems/idr
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A1&f%5B1%5D=topic%3A6076&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A66&f%5B2%5D=topic%3A116&f%5B3%5D=topic%3A136&f%5B4%5D=topic%3A436&items_per_page=10&sort_by=search_api_relevance&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A41&f%5B1%5D=topic%3A841&f%5B2%5D=topic%3A6666&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A101&f%5B1%5D=topic%3A121&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A436&f%5B4%5D=topic%3A671&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A81&f%5B1%5D=topic%3A181&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A426&f%5B4%5D=topic%3A6076&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A66&f%5B2%5D=topic%3A81&f%5B3%5D=topic%3A176&f%5B4%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r11076otn
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A161&f%5B2%5D=topic%3A221&f%5B3%5D=topic%3A231&f%5B4%5D=topic%3A436&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/regulations-and-guidance/guidance/manuals/internet-only-manuals-ioms-items/cms019326
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29581&f%5B1%5D=newsroom_article_type%3A33316&f%5B2%5D=topic%3A46&f%5B3%5D=topic%3A66&f%5B4%5D=topic%3A161&f%5B5%5D=topic%3A176&f%5B6%5D=topic%3A231&f%5B7%5D=topic%3A446&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A76&f%5B3%5D=topic%3A81&f%5B4%5D=topic%3A126&f%5B5%5D=topic%3A176&f%5B6%5D=topic%3A231&f%5B7%5D=topic%3A436&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A66&f%5B1%5D=topic%3A111&items_per_page=10&sort_by=search_api_relevance&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=newsroom_article_type%3A29601&f%5B2%5D=topic%3A121&f%5B3%5D=topic%3A231&f%5B4%5D=topic%3A456&f%5B5%5D=topic%3A671&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/press-releases/hhs-releases-new-data-showing-over-10-million-people-medicare-received-free-vaccine-because

…and more — 787 pages total ([download CSV](csv/alfa__sia-r57.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57

### Example pages
- https://cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A71&f%5B2%5D=topic%3A81&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A21&f%5B2%5D=topic%3A46&f%5B3%5D=topic%3A61&f%5B4%5D=topic%3A161&f%5B5%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://www.cms.gov/glossary?items_per_page=10&order=body&page=4&sort=asc&term=&viewmode=grid

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-959f62e1`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20  
**XPath / selector:** `<h3 id="h3DocumentInformationHeader" class="document-view-section-header">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r53` ([reference](https://alfa.siteimprove.com/rules/sia-r53))  
**Severity:** Moderate  
**Frequency:** 476 instances; 474 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### Description
Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 474 of 7180 scanned pages (476 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20.
2. Locate the element: <h3 id="h3DocumentInformationHeader" class="document-view-section-header">
3. Confirm the Siteimprove Alfa finding for rule sia-r53.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57609&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57436&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55530&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=35
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40255&proposedStatus=all&sortBy=title
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A21&f%5B2%5D=topic%3A46&f%5B3%5D=topic%3A61&f%5B4%5D=topic%3A161&f%5B5%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57526&articleStatus=all&bc=3&sortBy=title&ver=90
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59066&articleStatus=all&bc=3&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54111&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=48
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57068&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=16
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A66&f%5B2%5D=topic%3A116&f%5B3%5D=topic%3A136&f%5B4%5D=topic%3A436&items_per_page=10&sort_by=search_api_relevance&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56631&ver=19
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38307&lcdStatus=all&sortBy=title&ver=14
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38755&lcdStatus=all&sortBy=title&ver=6
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35160&lcdStatus=all&sortBy=title&ver=62
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56999&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=31
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57130&articleStatus=all&bc=3&sortBy=title&ver=51
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35998&lcdStatus=all&sortBy=title&ver=36
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33791&lcdStatus=all&sortBy=title&stateRegion=all&ver=15
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35906&lcdStatus=all&sortBy=title&ver=25
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=58
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56336&articleStatus=all&bc=3&sortBy=title&ver=2
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=38435&sortBy=relevance&ver=15
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33618&lcdStatus=all&sortBy=title&ver=23

…and more — 474 pages total ([download CSV](csv/alfa__sia-r53.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Use headings in a logical, non-skipping order.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34538&lcdStatus=all&sortBy=title&stateRegion=all&ver=20
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57609&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10

---

## Table header has scope (WCAG criterion undetermined)

**Bug ID:** `VS-9c2cbec1`  
**Pattern ID:** `VS-2cd767ca`  
**URL:** http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9  
**XPath / selector:** `<h4>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r78` ([reference](https://alfa.siteimprove.com/rules/sia-r78))  
**Severity:** Moderate  
**Frequency:** 283 instances; 196 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### Description
Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 196 of 7180 scanned pages (283 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9.
2. Locate the element: <h4>
3. Confirm the Siteimprove Alfa finding for rule sia-r78.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57609&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55530&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=35
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40255&proposedStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57526&articleStatus=all&bc=3&sortBy=title&ver=90
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59066&articleStatus=all&bc=3&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54111&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=48
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57068&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56631&ver=19
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56999&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=31
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57130&articleStatus=all&bc=3&sortBy=title&ver=51
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39256&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57567&ver=14
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58973&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=27
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33585&lcdStatus=all&sortBy=title&stateRegion=all
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=35121&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57576&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=11
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54111&articleStatus=all&bc=3&sortBy=title&ver=50
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58434&articleStatus=all&bc=3&sortBy=title&ver=34
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56869&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=35498&lcdStatus=all&sortBy=title&stateRegion=all
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56881&articleStatus=all&bc=3&sortBy=title&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54447&articleStatus=all&bc=3&sortBy=title&ver=26
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53304&articleStatus=all&bc=3&sortBy=title&ver=16
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57070&articleStatus=all&bc=3&sortBy=title&ver=16

…and more — 196 pages total ([download CSV](csv/alfa__sia-r78.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78

### Example pages
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56910&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57609&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55530&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=35

---

## Presentational attribute (use CSS) (WCAG criterion undetermined)

**Bug ID:** `VS-d46940dc`  
**Pattern ID:** `VS-04a9d28c`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=42&sortBy=meetingdate&year=all  
**XPath / selector:** `div`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `presentational-attr`  
**Severity:** Moderate  
**Frequency:** 1731 instances; 29 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### HTML snippet
```html
<div align="center"><strong>Agenda<br>
Medicare Evidence Development &amp; Coverage Advisory Committee<br>
April 30, 2008<br>
8:00 AM - 4:30 PM<br>
CMS Auditorium</strong></div>
```

### Description
Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 29 of 7180 scanned pages (1731 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=42&sortBy=meetingdate&year=all.
2. Locate the element: div
3. Confirm the deprecated-html finding for rule presentational-attr.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=42&sortBy=meetingdate&year=all
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0655.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1515.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&ver=57
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57846&articleStatus=all&bc=3&sortBy=title&ver=4
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0008.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&stateRegion=all&ver=61
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39464&lcdStatus=all&sortBy=title&stateRegion=all&ver=8
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39851&lcdStatus=all&sortBy=title&ver=15
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?=&bc=AAAAAAAAACAA&fromTracking=Y&ncaid=293&proposed=N
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0152.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1723.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39506&lcdStatus=all&sortBy=title&ver=3
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38178&ver=11
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59268&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=27
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39851&lcdStatus=all&sortBy=title&ver=15
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52855&articleStatus=all&bc=3&sortBy=title&ver=30
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38151&lcdStatus=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&stateRegion=all&ver=57
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39995&lcdStatus=all&sortBy=title&stateRegion=all&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33274&lcdStatus=all&sortBy=title&stateRegion=all&ver=36
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52504&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=61
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0004.html
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33445&lcdStatus=all&sortBy=title&stateRegion=all&ver=79

…and more — 29 pages total ([download CSV](csv/deprecated-html__presentational-attr.csv)).

### Testing environment
Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
Not captured by automated scan — requires manual testing.

### Example pages
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=42&sortBy=meetingdate&year=all
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0655.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1515.html

---

## Element with orientation is not locked (WCAG criterion undetermined)

**Bug ID:** `VS-7c13abb8`  
**Pattern ID:** `VS-7fbb8b20`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html  
**XPath / selector:** `{"type":"document","children":[{"type":"element","children":[{"type":"element","`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r59` ([reference](https://alfa.siteimprove.com/rules/sia-r59))  
**Severity:** Moderate  
**Frequency:** 11 instances; 11 of 7180 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W30 (5 weeks)

### Description
Element with orientation is not locked. Detected by Siteimprove Alfa rule sia-r59 on 11 of 7180 scanned pages (11 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html.
2. Locate the element: {"type":"document","children":[{"type":"element","children":[{"type":"element","
3. Confirm the Siteimprove Alfa finding for rule sia-r59.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0328.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1515.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0419.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0261.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0756.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0439.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0262.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1724.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1723.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0514.html

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r59

### Example pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0328.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1515.html

---

## Form field error is identified and described (WCAG criterion undetermined)

**Bug ID:** `VS-f02413d5`  
**Pattern ID:** `VS-e43903a1`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html  
**XPath / selector:** `<ul id="globar">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r75` ([reference](https://alfa.siteimprove.com/rules/sia-r75))  
**Severity:** Moderate  
**Frequency:** 22 instances; 11 of 7180 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W30 (5 weeks)

### Description
Form field error is identified and described. Detected by Siteimprove Alfa rule sia-r75 on 11 of 7180 scanned pages (22 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html.
2. Locate the element: <ul id="globar">
3. Confirm the Siteimprove Alfa finding for rule sia-r75.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0328.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1515.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0419.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0261.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0756.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0439.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0262.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1724.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1723.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0514.html

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r75

### Example pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1572.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0328.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1515.html

---

## Keyboard trap does not exist (WCAG criterion undetermined)

**Bug ID:** `VS-6c936872`  
**Pattern ID:** `VS-4c341c77`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=45&sortBy=meetingdate&year=all  
**XPath / selector:** `<p>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r85` ([reference](https://alfa.siteimprove.com/rules/sia-r85))  
**Severity:** Moderate  
**Frequency:** 6 instances; 3 of 7180 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W30 (6 weeks)

### Description
Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 3 of 7180 scanned pages (6 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=45&sortBy=meetingdate&year=all.
2. Locate the element: <p>
3. Confirm the Siteimprove Alfa finding for rule sia-r85.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=45&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=265
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=311&proposed=Y

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r85

### Example pages
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=45&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=265
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=311&proposed=Y

---

## Duplicate role landmark is labeled (WCAG criterion undetermined)

**Bug ID:** `VS-0a468acf`  
**Pattern ID:** `VS-f2542d87`  
**URL:** https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=265  
**XPath / selector:** `<pre>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r79` ([reference](https://alfa.siteimprove.com/rules/sia-r79))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (7 weeks)

### Description
Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 2 of 7180 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=265.
2. Locate the element: <pre>
3. Confirm the Siteimprove Alfa finding for rule sia-r79.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=265
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=311&proposed=Y

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r79

### Example pages
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=265
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=311&proposed=Y

---

## No obsolete or deprecated elements are used (WCAG criterion undetermined)

**Bug ID:** `VS-c1b5a07d`  
**Pattern ID:** `VS-3d033717`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=311&proposed=Y  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r70` ([reference](https://alfa.siteimprove.com/rules/sia-r70))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 7180 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W30 (6 weeks)

### Description
No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 1 of 7180 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=311&proposed=Y.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r70.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=311&proposed=Y

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r70

---

## Obsolete <font> element (use CSS) (WCAG criterion undetermined)

**Bug ID:** `VS-c2644f6a`  
**Pattern ID:** `VS-91d2294a`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?=&bc=AAAAAAAAACAA&fromTracking=Y&ncaid=293&proposed=N  
**XPath / selector:** `font`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `font-element`  
**Severity:** Moderate  
**Frequency:** 55 instances; 1 of 7180 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W30 (6 weeks)

### HTML snippet
```html
<font color="#FF0000">The heart team includes the following:</font>
```

### Description
Obsolete <font> element (use CSS). Detected by deprecated-html rule font-element on 1 of 7180 scanned pages (55 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?=&bc=AAAAAAAAACAA&fromTracking=Y&ncaid=293&proposed=N.
2. Locate the element: font
3. Confirm the deprecated-html finding for rule font-element.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?=&bc=AAAAAAAAACAA&fromTracking=Y&ncaid=293&proposed=N

### Testing environment
Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
Not captured by automated scan — requires manual testing.