# Accessibility bug reports — www.cms.gov, week 2026-W31

50 issue type(s) from 5543 pages scanned. Generated 2026-08-02 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-071d9688`  
**Pattern ID:** `VS-179ad9b3`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38816&ver=6  
**XPath / selector:** `<a href="#lblIssueDescriptionSubheader" data-href="lblIssueDescriptionSubheader" class="nav-link toc-link no-link log-click" title="Jump to Issue Description">`  
**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:** 200 instances; 94 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### Description
Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 94 of 5543 scanned pages (200 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38816&ver=6.
2. Locate the element: <a href="#lblIssueDescriptionSubheader" data-href="lblIssueDescriptionSubheader" class="nav-link toc-link no-link log-click" title="Jump to Issue Description">
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
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38816&ver=6
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56152&articleStatus=all&bc=3&sortBy=title&ver=35
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55326&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=40
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59641&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=22
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57472&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=40310&ver=20
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0010.html
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57677&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55264&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=56326&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&sortBy=relevance&ver=27
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60176&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58530&ver=4
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1218.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56985&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1353.html
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57571&articleStatus=all&bc=3&sortBy=title&ver=9
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58790&articleStatus=all&bc=3&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58454&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=47
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57622&articleStatus=all&bc=3&sortBy=title&ver=17
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59498&articleStatus=all&bc=3&sortBy=title&ver=10
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57125&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=22
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56973&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=67
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39063&ver=11
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0726.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57772&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=78

…and more — 94 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
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38816&ver=6
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56152&articleStatus=all&bc=3&sortBy=title&ver=35
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55326&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=40

---

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

**Bug ID:** `VS-558b7e08`  
**Pattern ID:** `VS-f7dba940`  
**URL:** https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14  
**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:** 753 instances; 301 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### Description
Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 301 of 5543 scanned pages (753 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14.
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://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38816&ver=6
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=86&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59383&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34046&lcdStatus=all&sortBy=title&ver=28
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56152&articleStatus=all&bc=3&sortBy=title&ver=35
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55326&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=40
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59641&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=22
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55936&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=356&NCDver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52499&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=23
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57472&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58899&articleStatus=all&bc=3&sortBy=title&ver=10
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=38&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=40310&ver=20
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40232&lcdStatus=all&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34648&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57677&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39345&lcdStatus=all&sortBy=title&stateRegion=all&ver=3
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54685&ver=17
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55264&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=9&NCDver=1
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=21&ncdver=1&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=56326&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&sortBy=relevance&ver=27
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38387&lcdStatus=all&sortBy=title&ver=7

…and more — 301 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://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38816&ver=6
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=86&sortBy=status&status=all

---

## Images must have alternative text (WCAG 1.1.1)

**Bug ID:** `VS-95ab2a02`  
**Pattern ID:** `VS-9074b4dd`  
**URL:** https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0260.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:** 23 instances; 23 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (7 weeks)

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

### Description
Images must have alternative text. Detected by axe-core rule image-alt on 23 of 5543 scanned pages (23 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0260.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/version39.0-fullcode-cms/fullcode_cms/P0260.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0316.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0119.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0017.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0087.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0321.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0512.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0197.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0028.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0338.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0345.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0104.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0469.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0103.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0006.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0004.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0202.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0011.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0363.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0074.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0363.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0264.html

### 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/version39.0-fullcode-cms/fullcode_cms/P0260.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0316.html

---

## Image has accessible name (WCAG 1.1.1)

**Bug ID:** `VS-1555c439`  
**Pattern ID:** `VS-a24eaa8c`  
**URL:** https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0010.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 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (7 weeks)

### Description
Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 8 of 5543 scanned pages (8 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0010.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/FY2023-version40-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0087.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0321.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0338.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0006.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0004.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0202.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0363.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/FY2023-version40-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0087.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0321.html

---

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

**Bug ID:** `VS-3f62cd22`  
**Pattern ID:** `VS-a0bdbdf6`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34046&lcdStatus=all&sortBy=title&ver=28  
**XPath / selector:** `#lblCmsNationalCoveragePolicy > ul:nth-child(2)`  
**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:** 1322 instances; 344 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### HTML snippet
```html
<ul>40.4 Speech-language pathology services</ul>
```

### Description
<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 344 of 5543 scanned pages (1322 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34046&lcdStatus=all&sortBy=title&ver=28.
2. Locate the element: #lblCmsNationalCoveragePolicy > ul:nth-child(2)
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/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34046&lcdStatus=all&sortBy=title&ver=28
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33621&lcdStatus=all&sortBy=title&ver=16
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56152&articleStatus=all&bc=3&sortBy=title&ver=35
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33686&lcdStatus=all&sortBy=title&ver=43
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A51&f%5B2%5D=topic%3A231&items_per_page=10&page=5&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33619&lcdStatus=all&sortBy=title&ver=24
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33967&lcdStatus=all&sortBy=title&ver=25
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=15
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36692&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A46&f%5B1%5D=topic%3A101&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=34051&ver=33
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35080&lcdStatus=all&sortBy=title&stateRegion=all&ver=53
- http://cms.gov/newsroom/search?f%5B0%5D=topic%3A176&items_per_page=10&page=0&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A231&items_per_page=10&sort_by=search_api_relevance&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=34213&ver=42
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A126&f%5B1%5D=topic%3A161&items_per_page=10&sort_by=search_api_relevance&sort_order=DESC
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33958&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29581&f%5B1%5D=newsroom_article_type%3A29586&f%5B2%5D=topic%3A61&f%5B3%5D=topic%3A231&items_per_page=10&page=2&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38213&lcdStatus=all&sortBy=title&stateRegion=all&ver=13
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40058&lcdStatus=all&sortBy=title&ver=7
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55264&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=11
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33261&lcdStatus=all&sortBy=title&ver=40
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A126&f%5B1%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/ncd.aspx?ncdid=201&ncdver=10
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39877&lcdStatus=all&sortBy=title&ver=4

…and more — 344 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/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34046&lcdStatus=all&sortBy=title&ver=28
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33621&lcdStatus=all&sortBy=title&ver=16
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56152&articleStatus=all&bc=3&sortBy=title&ver=35

---

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

**Bug ID:** `VS-5f4a3634`  
**Pattern ID:** `VS-6175596b`  
**URL:** https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=N  
**XPath / selector:** `td[scope="column"][valign="top"]:nth-child(2) > li:nth-child(12)`  
**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:** 69 instances; 7 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### HTML snippet
```html
<li> STS, mitral valve repair, mean (SD) %: 7.4 (5.3)
</li>
```

### Description
<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 7 of 5543 scanned pages (69 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=N.
2. Locate the element: td[scope="column"][valign="top"]:nth-child(2) > li:nth-child(12)
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://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=296&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-tracking-sheet.aspx?ncaid=109
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AAgAAAAACAAA&NCAId=273
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=305&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=NCA&ncaid=257&proposed=N&sortBy=status&status=Open+for+Public+Comment
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=378&ncdver=1&sortBy=title

### 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://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=296&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-tracking-sheet.aspx?ncaid=109

---

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

**Bug ID:** `VS-17954225`  
**Pattern ID:** `VS-07ba3b17`  
**URL:** https://cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_subject_formatted&page=16&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 5543 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W31 (7 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 5543 scanned pages (3 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_subject_formatted&page=16&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://cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_subject_formatted&page=16&sort=asc
- http://www.cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?page=1
- http://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_pe_number&page=7&sort=asc

### 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://cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_subject_formatted&page=16&sort=asc
- http://www.cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?page=1
- http://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_pe_number&page=7&sort=asc

---

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

**Bug ID:** `VS-cb2408f6`  
**Pattern ID:** `VS-d6097011`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=86&sortBy=status&status=all  
**XPath / selector:** `<ul class="nav nav-pills flex-column">`  
**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:** 228 instances; 77 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### Description
Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 77 of 5543 scanned pages (228 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=86&sortBy=status&status=all.
2. Locate the element: <ul class="nav nav-pills flex-column">
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/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=86&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34046&lcdStatus=all&sortBy=title&ver=28
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34648&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=56326&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&sortBy=relevance&ver=27
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35434&lcdStatus=all&sortBy=title&ver=30
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33393&lcdStatus=all&sortBy=title&ver=10
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37863&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=38816&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33906&lcdStatus=all&sortBy=title&ver=59
- https://www.cms.gov/medicare-coverage-database/search-results.aspx?areaId=all&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=36469&sortBy=relevance
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=218&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=39467&lcdStatus=all&sortBy=title&stateRegion=all
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=10&contractorName=all&contractorNumber=all&lcdid=40140&proposedStatus=all&sortBy=title&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=36668&sortBy=relevance&ver=45
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33560&lcdStatus=all&sortBy=title&ver=35
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=38387&lcdStatus=all&sortBy=title&stateRegion=all
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40249&lcdStatus=all&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35170&lcdStatus=all&sortBy=title&ver=60
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=34410&lcdStatus=all&sortBy=title&stateRegion=all
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=AiAAAAAAAAAA&ncaid=85&type=Closed
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=39636&lcdStatus=all&sortBy=title&stateRegion=all
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34246&lcdStatus=all&sortBy=title&ver=24
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39812&lcdStatus=all&sortBy=title&stateRegion=all&ver=14
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38268&ver=10
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=36469&lcdStatus=all&sortBy=title

…and more — 77 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/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=86&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34046&lcdStatus=all&sortBy=title&ver=28
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34648&lcdStatus=all&sortBy=title

---

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

**Bug ID:** `VS-765b0549`  
**Pattern ID:** `VS-4408605e`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55326&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=40  
**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:** 49 instances; 30 of 5543 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W31 (7 weeks)

### Description
Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 30 of 5543 scanned pages (49 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55326&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=40.
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://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55326&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=40
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59641&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=22
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57677&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57622&articleStatus=all&bc=3&sortBy=title&ver=17
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59498&articleStatus=all&bc=3&sortBy=title&ver=10
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57125&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=22
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57043&ver=19
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56653&ver=15
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56983&articleStatus=all&bc=3&sortBy=title&ver=12
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56848&articleStatus=all&bc=3&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58436&ver=13
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58577&articleStatus=all&bc=3&sortBy=title&ver=33
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57948&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=23
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58350&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=24
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52571&ver=141
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58250&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=19
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=57954&bc=1&contractOption=all&docType=6%2C1&keyword=foot+care&keywordType=starts&sortBy=relevance&ver=73
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57114&articleStatus=all&bc=3&sortBy=title&ver=16
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56514&articleStatus=all&bc=3&sortBy=title&ver=25
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56505&articleStatus=all&bc=3&sortBy=title&ver=37
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56802&ver=18
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52998&ver=44
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59645&ver=16
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57067&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=29
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56467&articleStatus=all&bc=3&sortBy=title&ver=14

…and more — 30 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://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55326&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=40
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59641&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=22
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57677&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14

---

## Element has required owned roles (WCAG 1.3.1)

**Bug ID:** `VS-ad201230`  
**Pattern ID:** `VS-3c632d31`  
**URL:** https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0010.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:** 8 instances; 8 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### Description
Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 8 of 5543 scanned pages (8 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0010.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/FY2023-version40-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0087.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0321.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0338.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0006.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0004.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0202.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0363.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/FY2023-version40-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0087.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0321.html

---

## Table cell has header (WCAG 1.3.1)

**Bug ID:** `VS-853cda80`  
**Pattern ID:** `VS-3f067795`  
**URL:** https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=215&proposed=N  
**XPath / selector:** `<td valign="top" scope="row">`  
**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:** 60 instances; 3 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### Description
Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 3 of 5543 scanned pages (60 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=215&proposed=N.
2. Locate the element: <td valign="top" scope="row">
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/view/ncacal-decision-memo.aspx?ncaid=215&proposed=N
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36868&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=76&sortBy=meetingdate&year=all

### 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/view/ncacal-decision-memo.aspx?ncaid=215&proposed=N
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36868&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=76&sortBy=meetingdate&year=all

---

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

**Bug ID:** `VS-e9feff64`  
**Pattern ID:** `VS-8ade3360`  
**URL:** https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14  
**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:** 1088 instances; 445 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### HTML snippet
```html
<a href="https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40184&amp;ver=7" target="_blank" class="log-click system-link" data-page-action="Clicked the Source Proposed LCD link">DL387
```

### Description
Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 445 of 5543 scanned pages (1088 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14.
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
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38816&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33447&lcdStatus=all&sortBy=title&stateRegion=all&ver=48
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=86&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40331&proposedStatus=all&sortBy=title&stateRegion=all&ver=7
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39591&lcdStatus=all&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38151&ver=9
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36186&lcdStatus=all&sortBy=title&ver=36
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39003&lcdStatus=all&sortBy=title&ver=15
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39427&ver=6
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38333&lcdStatus=all&sortBy=title&ver=20
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=15
- https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?NCDId=57&ncdver=5
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36692&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39189&lcdStatus=all&sortBy=title&stateRegion=all&ver=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=34051&ver=33
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35080&lcdStatus=all&sortBy=title&stateRegion=all&ver=53
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=40310&ver=20
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40232&lcdStatus=all&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59652&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=3
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=34213&ver=42
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39345&lcdStatus=all&sortBy=title&stateRegion=all&ver=3
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38213&lcdStatus=all&sortBy=title&stateRegion=all&ver=13
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40058&lcdStatus=all&sortBy=title&ver=7
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38443&lcdStatus=all&sortBy=title&ver=11

…and more — 445 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
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38816&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33447&lcdStatus=all&sortBy=title&stateRegion=all&ver=48

---

## Link in text block is visually distinguishable without color (WCAG 1.4.1)

**Bug ID:** `VS-cd811aae`  
**Pattern ID:** `VS-efd91fdd`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40180&proposedStatus=all&sortBy=title&stateRegion=all&ver=6  
**XPath / selector:** `<a href="#" data-bs-toggle="modal" data-bs-target="#MCDNoticeBoadModal" id="aBoardItemLink_2">`  
**WCAG SC:** 1.4.1 — Use of Color (Level A)  
**Rule:** Siteimprove Alfa — `sia-r62` ([reference](https://alfa.siteimprove.com/rules/sia-r62))  
**Severity:** Moderate  
**Frequency:** 4 instances; 4 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (7 weeks)

### Description
Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 4 of 5543 scanned pages (4 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40180&proposedStatus=all&sortBy=title&stateRegion=all&ver=6.
2. Locate the element: <a href="#" data-bs-toggle="modal" data-bs-target="#MCDNoticeBoadModal" id="aBoardItemLink_2">
3. Confirm the Siteimprove Alfa finding for rule sia-r62 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=11&contractorNumber=all&lcdid=40180&proposedStatus=all&sortBy=title&stateRegion=all&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38582&lcdStatus=all&sortBy=title&ver=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=9&lcdid=35000&proposedStatus=all&sortBy=title&ver=144
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38582&lcdStatus=all&sortBy=title&ver=7

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

### Suggested fix
**How to fix:** Make links visually distinguishable from surrounding text (not by color alone).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r62

### Example pages
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40180&proposedStatus=all&sortBy=title&stateRegion=all&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38582&lcdStatus=all&sortBy=title&ver=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=9&lcdid=35000&proposedStatus=all&sortBy=title&ver=144

---

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

**Bug ID:** `VS-adf4cedd`  
**Pattern ID:** `VS-c613c153`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&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:** 1 instances; 1 of 5543 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W31 (4 weeks)

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

### Description
Scrollable region must have keyboard access. Detected by axe-core rule scrollable-region-focusable on 1 of 5543 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&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?fromTracking=Y&ncaid=296&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

---

## Links must have discernible text (WCAG 2.4.4)

**Bug ID:** `VS-de153830`  
**Pattern ID:** `VS-e9fe47ac`  
**URL:** http://cms.gov/priorities/burden-reduction/overview/customer-engagement/accountable-care-organization-aco-engagement  
**XPath / selector:** `.cms-text--prominent.field--name-body.field--type-text-with-summary > a[href="/media/563001"][data-once="linkMatch"]`  
**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:** 9 instances; 4 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### HTML snippet
```html
<a href="/media/563001" data-once="linkMatch"></a>
```

### Description
Links must have discernible text. Detected by axe-core rule link-name on 4 of 5543 scanned pages (9 instances).

### Steps to reproduce
1. Open http://cms.gov/priorities/burden-reduction/overview/customer-engagement/accountable-care-organization-aco-engagement.
2. Locate the element: .cms-text--prominent.field--name-body.field--type-text-with-summary > a[href="/media/563001"][data-once="linkMatch"]
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
- http://cms.gov/priorities/burden-reduction/overview/customer-engagement/accountable-care-organization-aco-engagement
- https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments
- https://cms.gov/medicare/quality/clinical-laboratory-improvement-amendments
- https://cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medical-review-education/hospice

### 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
- http://cms.gov/priorities/burden-reduction/overview/customer-engagement/accountable-care-organization-aco-engagement
- https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments
- https://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:** 3 instances; 2 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### Description
Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 2 of 5543 scanned pages (3 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
- https://cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medical-review-education/hospice

### 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

### Example pages
- https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments
- https://cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medical-review-education/hospice

---

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

**Bug ID:** `VS-13ed4817`  
**Pattern ID:** `VS-c126b6a6`  
**URL:** https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0260.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:** 48 instances; 48 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

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

### Description
<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 48 of 5543 scanned pages (48 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0260.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/version39.0-fullcode-cms/fullcode_cms/P0260.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0316.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1218.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1353.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0119.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0017.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0726.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0379.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0087.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0115.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0321.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1569.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0195.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0309.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0104.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0512.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0197.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1162.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0150.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0028.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0338.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0345.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0289.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0104.html

…and more — 48 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/version39.0-fullcode-cms/fullcode_cms/P0260.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0316.html

---

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

**Bug ID:** `VS-5d271954`  
**Pattern ID:** `VS-7a0e5645`  
**URL:** https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0010.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:** 14 instances; 14 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### Description
Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 14 of 5543 scanned pages (14 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0010.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://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0010.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1218.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1353.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0726.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0087.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0321.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0338.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0006.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0004.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0202.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0316.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0363.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0111.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0884.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://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0010.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1218.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1353.html

---

## Form elements must have labels (WCAG 4.1.2)

**Bug ID:** `VS-46edb2df`  
**Pattern ID:** `VS-fafffee0`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1218.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:** 25 instances; 25 of 5543 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W31 (6 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 25 of 5543 scanned pages (25 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1218.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/P1218.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1353.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0726.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0379.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0115.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1569.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0195.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0309.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0104.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1162.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0150.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0289.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0159.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0202.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0783.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0229.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0287.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1190.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0883.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0893.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0316.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0342.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0204.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0111.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0884.html

### 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/P1218.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1353.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0726.html

---

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

**Bug ID:** `VS-c9e95a94`  
**Pattern ID:** `VS-be8d563e`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=296&proposed=Y  
**XPath / selector:** `font:nth-child(300) > p: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:** 429 instances; 24 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

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

### Description
Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 24 of 5543 scanned pages (429 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=296&proposed=Y.
2. Locate the element: font:nth-child(300) > p: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
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=296&proposed=Y
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33393&lcdStatus=all&sortBy=title&ver=10
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=379&ncdver=1&sortBy=title
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37899&lcdStatus=all&sortBy=title&stateRegion=all&ver=14
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&fromTracking=Y&ncaid=293&proposed=Y&sortBy=title&year=2026
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=296&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52492
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52503&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39464&lcdStatus=all&sortBy=title&stateRegion=all&ver=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=37903&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33803&lcdStatus=all&sortBy=title&ver=53
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=190&ncdver=4&sortBy=title
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39402&lcdStatus=all&sortBy=title&ver=14
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=279&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52492&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=22
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39462&lcdStatus=all&sortBy=title&stateRegion=all&ver=9
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36706&lcdStatus=all&sortBy=title&ver=23
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AAgAAAAACAAA&NCAId=273
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36706&lcdStatus=all&sortBy=title&ver=22
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=305&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52465&ver=60
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40269&proposedStatus=all&sortBy=title&stateRegion=all&ver=12
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33370&lcdStatus=all&sortBy=title&ver=58
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=378&ncdver=1&sortBy=title

### 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
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=296&proposed=Y
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33393&lcdStatus=all&sortBy=title&ver=10
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=379&ncdver=1&sortBy=title

---

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

**Bug ID:** `VS-0ff1753e`  
**Pattern ID:** `VS-f7e99f4b`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33393&lcdStatus=all&sortBy=title&ver=10  
**XPath / selector:** `text: "PPS Level"`  
**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:** 51 instances; 6 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### Description
Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 6 of 5543 scanned pages (51 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33393&lcdStatus=all&sortBy=title&ver=10.
2. Locate the element: text: "PPS Level"
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
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33393&lcdStatus=all&sortBy=title&ver=10
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37899&lcdStatus=all&sortBy=title&stateRegion=all&ver=14
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39455&lcdStatus=all&sortBy=title&stateRegion=all&ver=7
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39462&lcdStatus=all&sortBy=title&stateRegion=all&ver=9
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36706&lcdStatus=all&sortBy=title&ver=23
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36706&lcdStatus=all&sortBy=title&ver=22

### 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
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33393&lcdStatus=all&sortBy=title&ver=10
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37899&lcdStatus=all&sortBy=title&stateRegion=all&ver=14
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39455&lcdStatus=all&sortBy=title&stateRegion=all&ver=7

---

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

**Bug ID:** `VS-99c703f4`  
**Pattern ID:** `VS-dd1c019f`  
**URL:** http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&ver=14  
**XPath / selector:** `li:nth-child(1) > 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:** 19 instances; 3 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### HTML snippet
```html
<span lang="X-NONE">
```

### Description
lang attribute must have a valid value. Detected by axe-core rule valid-lang on 3 of 5543 scanned pages (19 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&ver=14.
2. Locate the element: li:nth-child(1) > 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
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33609&lcdStatus=all&sortBy=title&ver=14

### 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

### Example pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33609&lcdStatus=all&sortBy=title&ver=14

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-9d810e43`  
**Pattern ID:** `VS-646b1e0b`  
**URL:** https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14  
**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:** 1609 instances; 301 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### Description
Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 301 of 5543 scanned pages (1609 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14.
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://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38816&ver=6
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=86&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59383&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34046&lcdStatus=all&sortBy=title&ver=28
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56152&articleStatus=all&bc=3&sortBy=title&ver=35
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55326&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=40
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59641&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=22
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55936&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=356&NCDver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52499&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=23
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57472&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58899&articleStatus=all&bc=3&sortBy=title&ver=10
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=38&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=40310&ver=20
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40232&lcdStatus=all&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34648&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57677&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39345&lcdStatus=all&sortBy=title&stateRegion=all&ver=3
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54685&ver=17
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55264&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=9&NCDver=1
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=21&ncdver=1&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=56326&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&sortBy=relevance&ver=27
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38387&lcdStatus=all&sortBy=title&ver=7

…and more — 301 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://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38816&ver=6
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=86&sortBy=status&status=all

---

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

**Bug ID:** `VS-a79ec2e3`  
**Pattern ID:** `VS-2208081b`  
**URL:** https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A111&f%5B3%5D=topic%3A121&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  
**XPath / selector:** `<p class="ds-c-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:** 12425 instances; 1140 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### Description
Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 1140 of 5543 scanned pages (12425 instances).

### Steps to reproduce
1. Open https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A111&f%5B3%5D=topic%3A121&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.
2. Locate the element: <p class="ds-c-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/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A111&f%5B3%5D=topic%3A121&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://cms.gov/newsroom/search?f%5B0%5D=topic%3A126&f%5B1%5D=topic%3A231&f%5B2%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%3A21&f%5B1%5D=topic%3A61&f%5B2%5D=topic%3A71&f%5B3%5D=topic%3A671&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38816&ver=6
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=86&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59383&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34046&lcdStatus=all&sortBy=title&ver=28
- https://www.cms.gov/priorities/innovation-center/value-based-care-spotlight/patient-provider-voices/whole-person-care-stories/improving-health-access-care-rural-areas-one-pennsylvania-couples-story
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A46&f%5B2%5D=topic%3A56&f%5B3%5D=topic%3A66&f%5B4%5D=topic%3A76&f%5B5%5D=topic%3A81&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
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56152&articleStatus=all&bc=3&sortBy=title&ver=35
- http://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A81&f%5B2%5D=topic%3A111&f%5B3%5D=topic%3A221&f%5B4%5D=topic%3A436&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/search?f%5B0%5D=topic%3A116&f%5B1%5D=topic%3A121&f%5B2%5D=topic%3A841&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A126&f%5B3%5D=topic%3A161&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%3A46&f%5B1%5D=topic%3A196&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A436&f%5B4%5D=topic%3A441&f%5B5%5D=topic%3A446&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://cms.gov/priorities/burden-reduction/overview/interoperability/learn-about-fhir
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55326&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=40
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A66&f%5B1%5D=topic%3A121&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A671&f%5B4%5D=topic%3A911&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/fact-sheets/contract-year-2026-policy-and-technical-changes-medicare-advantage-program-medicare-prescription
- https://www.cms.gov/about-cms/contact/database?page=12
- https://www.cms.gov/newsroom/press-releases/new-drug-coverage-hawaii-include-options-additional-benefits-and-saving-money
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A66&f%5B2%5D=topic%3A71&f%5B3%5D=topic%3A186&f%5B4%5D=topic%3A671&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/search?f%5B0%5D=topic%3A41&f%5B1%5D=topic%3A116&f%5B2%5D=topic%3A161&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=59641&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=22
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55936&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2

…and more — 1140 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/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A111&f%5B3%5D=topic%3A121&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://cms.gov/newsroom/search?f%5B0%5D=topic%3A126&f%5B1%5D=topic%3A231&f%5B2%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%3A21&f%5B1%5D=topic%3A61&f%5B2%5D=topic%3A71&f%5B3%5D=topic%3A671&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-1bd44dcb`  
**Pattern ID:** `VS-fbf54eba`  
**URL:** https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14  
**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:** 25038 instances; 303 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### Description
Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 303 of 5543 scanned pages (25038 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14.
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://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38816&ver=6
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=86&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59383&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34046&lcdStatus=all&sortBy=title&ver=28
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56152&articleStatus=all&bc=3&sortBy=title&ver=35
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55326&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=40
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59641&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=22
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55936&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=356&NCDver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52499&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=23
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57472&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58899&articleStatus=all&bc=3&sortBy=title&ver=10
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=38&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=40310&ver=20
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40232&lcdStatus=all&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34648&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57677&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39345&lcdStatus=all&sortBy=title&stateRegion=all&ver=3
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54685&ver=17
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55264&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=9&NCDver=1
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=21&ncdver=1&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=56326&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&sortBy=relevance&ver=27
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38387&lcdStatus=all&sortBy=title&ver=7

…and more — 303 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://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38816&ver=6
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=86&sortBy=status&status=all

---

## Scrollable element is keyboard accessible (WCAG 1.4.8)

**Bug ID:** `VS-f783446e`  
**Pattern ID:** `VS-388b5438`  
**URL:** http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56152&articleStatus=all&bc=3&sortBy=title&ver=35  
**XPath / selector:** `<p style="line-height: 16.05pt;">`  
**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:** 330 instances; 32 of 5543 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W31 (7 weeks)

### Description
Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 32 of 5543 scanned pages (330 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56152&articleStatus=all&bc=3&sortBy=title&ver=35.
2. Locate the element: <p style="line-height: 16.05pt;">
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=56152&articleStatus=all&bc=3&sortBy=title&ver=35
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57472&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40232&lcdStatus=all&sortBy=title&ver=5
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39345&lcdStatus=all&sortBy=title&stateRegion=all&ver=3
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38288&lcdStatus=all&sortBy=title&ver=11
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58790&articleStatus=all&bc=3&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38278&lcdStatus=all&sortBy=title&ver=24
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38339&lcdStatus=all&sortBy=title&ver=17
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35724&lcdStatus=all&sortBy=title&ver=80
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58350&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=24
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39023&lcdStatus=all&sortBy=title&ver=23
- https://www.cms.gov/sf5510-authorization-agreement-preauthorized-payments
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38153&lcdStatus=all&sortBy=title&ver=8
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=57954&bc=1&contractOption=all&docType=6%2C1&keyword=foot+care&keywordType=starts&sortBy=relevance&ver=73
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39455&lcdStatus=all&sortBy=title&stateRegion=all&ver=7
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38201&lcdStatus=all&sortBy=title&ver=25
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39462&lcdStatus=all&sortBy=title&stateRegion=all&ver=9
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35076&lcdStatus=all&sortBy=title&stateRegion=all&ver=56
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52467&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=54
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38276&lcdStatus=all&sortBy=title&ver=8
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53043&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=16
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58747&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=63
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52514&ver=54
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38240&ver=26
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38051&lcdStatus=all&sortBy=title&ver=17

…and more — 32 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=56152&articleStatus=all&bc=3&sortBy=title&ver=35
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57472&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40232&lcdStatus=all&sortBy=title&ver=5

---

## iframe element is not empty (WCAG 1.4.8)

**Bug ID:** `VS-74885247`  
**Pattern ID:** `VS-48291402`  
**URL:** https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58899&articleStatus=all&bc=3&sortBy=title&ver=10  
**XPath / selector:** `<p style="text-align: justify;">`  
**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:** 154 instances; 14 of 5543 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W31 (7 weeks)

### Description
iframe element is not empty. Detected by Siteimprove Alfa rule sia-r71 on 14 of 5543 scanned pages (154 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58899&articleStatus=all&bc=3&sortBy=title&ver=10.
2. Locate the element: <p style="text-align: justify;">
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://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58899&articleStatus=all&bc=3&sortBy=title&ver=10
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40232&lcdStatus=all&sortBy=title&ver=5
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59084&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58454&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=47
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38339&lcdStatus=all&sortBy=title&ver=17
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39226&lcdStatus=all&sortBy=title&ver=13
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58350&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=24
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38153&lcdStatus=all&sortBy=title&ver=8
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39455&lcdStatus=all&sortBy=title&stateRegion=all&ver=7
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39462&lcdStatus=all&sortBy=title&stateRegion=all&ver=9
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56252&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38051&lcdStatus=all&sortBy=title&ver=17
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59134&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=3
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39770&lcdStatus=all&sortBy=title&ver=13

### 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://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58899&articleStatus=all&bc=3&sortBy=title&ver=10
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40232&lcdStatus=all&sortBy=title&ver=5
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59084&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4

---

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

**Bug ID:** `VS-a10bcb7d`  
**Pattern ID:** `VS-cb53cc4d`  
**URL:** https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A111&f%5B3%5D=topic%3A121&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  
**XPath / selector:** `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">`  
**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:** 43830 instances; 1142 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### Description
Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 1142 of 5543 scanned pages (43830 instances).

### Steps to reproduce
1. Open https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A111&f%5B3%5D=topic%3A121&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.
2. Locate the element: <a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">
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/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A111&f%5B3%5D=topic%3A121&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://cms.gov/newsroom/search?f%5B0%5D=topic%3A126&f%5B1%5D=topic%3A231&f%5B2%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%3A21&f%5B1%5D=topic%3A61&f%5B2%5D=topic%3A71&f%5B3%5D=topic%3A671&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38816&ver=6
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=86&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59383&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34046&lcdStatus=all&sortBy=title&ver=28
- https://www.cms.gov/priorities/innovation-center/value-based-care-spotlight/patient-provider-voices/whole-person-care-stories/improving-health-access-care-rural-areas-one-pennsylvania-couples-story
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A46&f%5B2%5D=topic%3A56&f%5B3%5D=topic%3A66&f%5B4%5D=topic%3A76&f%5B5%5D=topic%3A81&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
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56152&articleStatus=all&bc=3&sortBy=title&ver=35
- http://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A81&f%5B2%5D=topic%3A111&f%5B3%5D=topic%3A221&f%5B4%5D=topic%3A436&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/search?f%5B0%5D=topic%3A116&f%5B1%5D=topic%3A121&f%5B2%5D=topic%3A841&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A126&f%5B3%5D=topic%3A161&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%3A46&f%5B1%5D=topic%3A196&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A436&f%5B4%5D=topic%3A441&f%5B5%5D=topic%3A446&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://cms.gov/priorities/burden-reduction/overview/interoperability/learn-about-fhir
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55326&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=40
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A66&f%5B1%5D=topic%3A121&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A671&f%5B4%5D=topic%3A911&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/fact-sheets/contract-year-2026-policy-and-technical-changes-medicare-advantage-program-medicare-prescription
- https://www.cms.gov/about-cms/contact/database?page=12
- https://www.cms.gov/newsroom/press-releases/new-drug-coverage-hawaii-include-options-additional-benefits-and-saving-money
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A66&f%5B2%5D=topic%3A71&f%5B3%5D=topic%3A186&f%5B4%5D=topic%3A671&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/search?f%5B0%5D=topic%3A41&f%5B1%5D=topic%3A116&f%5B2%5D=topic%3A161&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=59641&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=22
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55936&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2

…and more — 1142 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/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A111&f%5B3%5D=topic%3A121&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://cms.gov/newsroom/search?f%5B0%5D=topic%3A126&f%5B1%5D=topic%3A231&f%5B2%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%3A21&f%5B1%5D=topic%3A61&f%5B2%5D=topic%3A71&f%5B3%5D=topic%3A671&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-78d04bcc`  
**Pattern ID:** `VS-bd13f00a`  
**URL:** https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0316.html  
**XPath / selector:** `td[width="31"]:nth-child(3) > a[accesskey="p"][href$="P0315.html"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `accesskeys` ([reference](https://dequeuniversity.com/rules/axe/4.12/accesskeys?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 3 instances; 1 of 5543 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W31 (5 weeks)

### HTML snippet
```html
<a accesskey="p" id="prev_page" href="P0315.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 1 of 5543 scanned pages (3 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0316.html.
2. Locate the element: td[width="31"]:nth-child(3) > a[accesskey="p"][href$="P0315.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/P0316.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

---

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

**Bug ID:** `VS-c3f22959`  
**Pattern ID:** `VS-d25f622d`  
**URL:** https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=36551&lcdStatus=all&sortBy=title&stateRegion=all  
**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:** 213 instances; 209 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 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 209 of 5543 scanned pages (213 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=36551&lcdStatus=all&sortBy=title&stateRegion=all.
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
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=36551&lcdStatus=all&sortBy=title&stateRegion=all
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=36236&lcdStatus=all&sortBy=title
- http://www.cms.gov/priorities/health-equity/minority-health/resource-center/webinars-trainings/coverage-care-c2c-webinars
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=37794&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34648&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=32553&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39036&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=33820&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38904&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/national-coverage-ncacal-status-report.aspx?ncacaldoctype=all&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=296&proposed=Y
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=37832&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/search-results.aspx?areaId=all&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=37088&sortBy=relevance
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=35073&lcdStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38926&lcdStatus=all&sortBy=title
- http://cms.gov/data-research/cms-data/data-available-researchers
- http://cms.gov/medicare/quality/value-based-programs/cost-measures/about
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29601&f%5B1%5D=topic%3A51&f%5B2%5D=topic%3A56&f%5B3%5D=topic%3A61&f%5B4%5D=topic%3A76&f%5B5%5D=topic%3A231&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=N
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37863&lcdStatus=all&sortBy=title&stateRegion=all
- https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits/medicare-ncci-procedure-procedure-ptp-edits
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39521&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=279&proposed=Y&sortBy=status&status=all
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38816&lcdStatus=all&sortBy=title

…and more — 209 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
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=36551&lcdStatus=all&sortBy=title&stateRegion=all
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=36236&lcdStatus=all&sortBy=title
- http://www.cms.gov/priorities/health-equity/minority-health/resource-center/webinars-trainings/coverage-care-c2c-webinars

---

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

**Bug ID:** `VS-073a7e5e`  
**Pattern ID:** `VS-d5d82446`  
**URL:** https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0260.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:** 48 instances; 48 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

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

### Description
Document should have one main landmark. Detected by axe-core rule landmark-one-main on 48 of 5543 scanned pages (48 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0260.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/version39.0-fullcode-cms/fullcode_cms/P0260.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0316.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1218.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1353.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0119.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0017.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0726.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0379.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0087.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0115.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0321.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1569.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0195.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0309.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0104.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0512.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0197.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1162.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0150.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0028.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0338.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0345.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0289.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0104.html

…and more — 48 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/version39.0-fullcode-cms/fullcode_cms/P0260.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0316.html

---

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

**Bug ID:** `VS-e017670d`  
**Pattern ID:** `VS-f18df681`  
**URL:** https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0260.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:** 1060 instances; 48 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 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 v39.0 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 48 of 5543 scanned pages (1060 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0260.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/version39.0-fullcode-cms/fullcode_cms/P0260.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0316.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1218.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1353.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0119.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0017.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0726.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0379.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0087.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0115.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0321.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1569.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0195.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0309.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0104.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0512.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0197.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1162.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0150.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0028.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0338.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0345.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0289.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0104.html

…and more — 48 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/version39.0-fullcode-cms/fullcode_cms/P0260.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0316.html

---

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

**Bug ID:** `VS-4f43c528`  
**Pattern ID:** `VS-fa44f293`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1218.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:** 38 instances; 38 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

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

### Description
Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 38 of 5543 scanned pages (38 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1218.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/P1218.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1353.html
- https://www.cms.gov/priorities/key-initiatives/hospital-price-transparency/enforcement-actions
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0726.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/P0379.html
- http://cms.gov/priorities/key-initiatives/hospital-price-transparency/contact-us
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0115.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1569.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0195.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0309.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0104.html
- https://www.cms.gov/derechos-facturas-medicas/ayuda/dispute-una-factura
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1162.html
- https://www.cms.gov/medicare/medicaid-coordination/states/medicaid-integrity-program
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0150.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0289.html
- https://www.cms.gov/helpful-things-know
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0159.html
- https://www.cms.gov/medical-bill-rights/help
- https://www.cms.gov/medical-bill-rights/help/guides
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0202.html
- https://www.cms.gov/medical-bill-rights
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0783.html

…and more — 38 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/P1218.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1353.html
- https://www.cms.gov/priorities/key-initiatives/hospital-price-transparency/enforcement-actions

---

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

**Bug ID:** `VS-18961784`  
**Pattern ID:** `VS-0ba8ce9d`  
**URL:** https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=N  
**XPath / selector:** `td[bgcolor="#E7E6E6"]`  
**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:** 736 instances; 14 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### HTML snippet
```html
<td colspan="4" valign="top" bgcolor="#E7E6E6" scope="row"><p align="center"><strong>TRISCEND Single Arm</strong></p></td>
```

### Description
scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 14 of 5543 scanned pages (736 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=N.
2. Locate the element: td[bgcolor="#E7E6E6"]
3. Confirm the axe-core finding for rule scope-attr-valid.

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

### Affected pages
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=279&proposed=Y&sortBy=status&status=all
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=215&proposed=N
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=190&ncdver=2&sortBy=title
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=190&ncdver=4&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=224&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=228&proposed=N
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AAgAAAAACAAA&NCAId=273
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&ncaid=90&proposed=N&sortBy=title&year=2026
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=ACAAAAAACAAAAA&NCAId=16&NcaName=Cardiac+Pacemakers&proposed=N
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=264&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=NCA&ncaid=257&proposed=N&sortBy=status&status=Open+for+Public+Comment
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38571&lcdStatus=all&sortBy=title&ver=8
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AiAAAAAAEACA&docName=Decision+Memo+for+Cardiac+Pacemakers+%28CAG-00063R2%29&ncaid=267&NcaName=Cardiac+Pacemakers+%282nd+Recon%29&proposed=N

### 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://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=279&proposed=Y&sortBy=status&status=all
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=215&proposed=N

---

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

**Bug ID:** `VS-af260a87`  
**Pattern ID:** `VS-8806389c`  
**URL:** http://www.cms.gov/priorities/health-equity/minority-health/resource-center/webinars-trainings/coverage-care-c2c-webinars  
**XPath / selector:** `.ds-u-lg-padding--0.ds-u-margin-y--2.ds-u-lg-margin-y--4:nth-child(8) > .ds-u-lg-padding-right--2.ds-l-lg-col--4.ds-u-padding-x--0 > div[role="region"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-unique` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 4 instances; 4 of 5543 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W31 (7 weeks)

### HTML snippet
```html
<div role="region">
```

### Description
Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 4 of 5543 scanned pages (4 instances).

### Steps to reproduce
1. Open http://www.cms.gov/priorities/health-equity/minority-health/resource-center/webinars-trainings/coverage-care-c2c-webinars.
2. Locate the element: .ds-u-lg-padding--0.ds-u-margin-y--2.ds-u-lg-margin-y--4:nth-child(8) > .ds-u-lg-padding-right--2.ds-l-lg-col--4.ds-u-padding-x--0 > div[role="region"]
3. Confirm the axe-core finding for rule landmark-unique.

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

### Affected pages
- http://www.cms.gov/priorities/health-equity/minority-health/resource-center/webinars-trainings/coverage-care-c2c-webinars
- https://www.cms.gov/apps/media/press_releases.asp
- https://cms.gov/apps/media/press_releases.asp?page=1
- https://www.cms.gov/about-cms/contact/newsroom

### 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
- http://www.cms.gov/priorities/health-equity/minority-health/resource-center/webinars-trainings/coverage-care-c2c-webinars
- https://www.cms.gov/apps/media/press_releases.asp
- https://cms.gov/apps/media/press_releases.asp?page=1

---

## Banner landmark should not be contained in another landmark (WCAG criterion undetermined)

**Bug ID:** `VS-9a391305`  
**Pattern ID:** `VS-30db094d`  
**URL:** https://cms.gov/data-research/statistics-trends-and-reports/cms-fast-facts  
**XPath / selector:** `.Header`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-banner-is-top-level` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-banner-is-top-level?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (6 weeks)

### HTML snippet
```html
<header class="Header" style="position: sticky;">
```

### Description
Banner landmark should not be contained in another landmark. Detected by axe-core rule landmark-banner-is-top-level on 1 of 5543 scanned pages (1 instances).

### Steps to reproduce
1. Open https://cms.gov/data-research/statistics-trends-and-reports/cms-fast-facts.
2. Locate the element: .Header
3. Confirm the axe-core finding for rule landmark-banner-is-top-level.

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

### Affected pages
- https://cms.gov/data-research/statistics-trends-and-reports/cms-fast-facts

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

### Suggested fix
**How to fix:** Put the banner landmark (<header>) at the top level, not nested inside another landmark.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-banner-is-top-level?application=axeAPI

---

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

**Bug ID:** `VS-79c3d473`  
**Pattern ID:** `VS-0066c67d`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39591&lcdStatus=all&sortBy=title&ver=11  
**XPath / selector:** `#lblSummaryOfEvidence > h2`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `empty-heading` ([reference](https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 29 instances; 29 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### HTML snippet
```html
<h2 style="line-height: 115%;"><span style="line-height: 115%;"> </span></h2>
```

### Description
Headings should not be empty. Detected by axe-core rule empty-heading on 29 of 5543 scanned pages (29 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39591&lcdStatus=all&sortBy=title&ver=11.
2. Locate the element: #lblSummaryOfEvidence > h2
3. Confirm the axe-core finding for rule empty-heading.

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

### Affected pages
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39591&lcdStatus=all&sortBy=title&ver=11
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0260.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0316.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0119.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0017.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&ver=13
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0087.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0321.html
- https://www.cms.gov/about-cms/what-we-do/nursing-homes
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0512.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0197.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0028.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0338.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0345.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0104.html
- http://www.cms.gov/newsroom/press-releases/medicare-expands-coverage-pet-scans-cancer-diagnostic-tool
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0469.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59632&ver=22
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0103.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0006.html
- https://www.cms.gov/marketplace/about/health-insurance-marketplace-quality-initiatives
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0004.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0202.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0011.html

…and more — 29 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
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39591&lcdStatus=all&sortBy=title&ver=11
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0260.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0010.html

---

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

**Bug ID:** `VS-efbb9423`  
**Pattern ID:** `VS-d69fc059`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=279&proposed=Y&sortBy=status&status=all  
**XPath / selector:** `div[align="center"]:nth-child(91) > table > tbody > tr:nth-child(1) > th:nth-child(1)`  
**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:** 31 instances; 8 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

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

### Description
Table header text should not be empty. Detected by axe-core rule empty-table-header on 8 of 5543 scanned pages (31 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=279&proposed=Y&sortBy=status&status=all.
2. Locate the element: div[align="center"]:nth-child(91) > table > tbody > tr:nth-child(1) > th:nth-child(1)
3. Confirm the axe-core finding for rule empty-table-header.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=279&proposed=Y&sortBy=status&status=all
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=215&proposed=N
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36868&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=279&proposed=N
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AAgAAAAACAAA&NCAId=273
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36889&lcdStatus=all&sortBy=title&ver=24
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=264&proposed=Y
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=76&sortBy=meetingdate&year=all

### 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://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=279&proposed=Y&sortBy=status&status=all
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=215&proposed=N
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36868&lcdStatus=all&sortBy=title&stateRegion=all&ver=25

---

## Alternative text of images should not be repeated as text (WCAG criterion undetermined)

**Bug ID:** `VS-5224b66a`  
**Pattern ID:** `VS-f528778d`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=NCA&ncaid=257&proposed=N&sortBy=status&status=Open+for+Public+Comment  
**XPath / selector:** `img[height="485"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `image-redundant-alt` ([reference](https://dequeuniversity.com/rules/axe/4.12/image-redundant-alt?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 2 instances; 1 of 5543 pages affected
  
**History:** first seen 2026-W31, last seen 2026-W31 (1 week)

### HTML snippet
```html
<img border="0" width="624" height="485" src="https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id257image002.gif" v:shapes="Picture_x0020_69" alt="Figure 1. PARTNER Trial
```

### Description
Alternative text of images should not be repeated as text. Detected by axe-core rule image-redundant-alt on 1 of 5543 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=NCA&ncaid=257&proposed=N&sortBy=status&status=Open+for+Public+Comment.
2. Locate the element: img[height="485"]
3. Confirm the axe-core finding for rule image-redundant-alt.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=NCA&ncaid=257&proposed=N&sortBy=status&status=Open+for+Public+Comment

### 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/image-redundant-alt?application=axeAPI

---

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

**Bug ID:** `VS-2070b99d`  
**Pattern ID:** `VS-7118fead`  
**URL:** https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A111&f%5B3%5D=topic%3A121&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  
**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:** 1128 instances; 1128 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### Description
Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 1128 of 5543 scanned pages (1128 instances).

### Steps to reproduce
1. Open https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A111&f%5B3%5D=topic%3A121&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.
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/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A111&f%5B3%5D=topic%3A121&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://cms.gov/newsroom/search?f%5B0%5D=topic%3A126&f%5B1%5D=topic%3A231&f%5B2%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%3A21&f%5B1%5D=topic%3A61&f%5B2%5D=topic%3A71&f%5B3%5D=topic%3A671&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38816&ver=6
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=86&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59383&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34046&lcdStatus=all&sortBy=title&ver=28
- https://www.cms.gov/priorities/innovation-center/value-based-care-spotlight/patient-provider-voices/whole-person-care-stories/improving-health-access-care-rural-areas-one-pennsylvania-couples-story
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A46&f%5B2%5D=topic%3A56&f%5B3%5D=topic%3A66&f%5B4%5D=topic%3A76&f%5B5%5D=topic%3A81&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
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56152&articleStatus=all&bc=3&sortBy=title&ver=35
- http://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A81&f%5B2%5D=topic%3A111&f%5B3%5D=topic%3A221&f%5B4%5D=topic%3A436&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/search?f%5B0%5D=topic%3A116&f%5B1%5D=topic%3A121&f%5B2%5D=topic%3A841&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A126&f%5B3%5D=topic%3A161&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%3A46&f%5B1%5D=topic%3A196&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A436&f%5B4%5D=topic%3A441&f%5B5%5D=topic%3A446&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://cms.gov/priorities/burden-reduction/overview/interoperability/learn-about-fhir
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55326&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=40
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A66&f%5B1%5D=topic%3A121&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A671&f%5B4%5D=topic%3A911&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/fact-sheets/contract-year-2026-policy-and-technical-changes-medicare-advantage-program-medicare-prescription
- https://www.cms.gov/about-cms/contact/database?page=12
- https://www.cms.gov/newsroom/press-releases/new-drug-coverage-hawaii-include-options-additional-benefits-and-saving-money
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A66&f%5B2%5D=topic%3A71&f%5B3%5D=topic%3A186&f%5B4%5D=topic%3A671&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/search?f%5B0%5D=topic%3A41&f%5B1%5D=topic%3A116&f%5B2%5D=topic%3A161&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=59641&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=22
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55936&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2

…and more — 1128 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/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A111&f%5B3%5D=topic%3A121&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://cms.gov/newsroom/search?f%5B0%5D=topic%3A126&f%5B1%5D=topic%3A231&f%5B2%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%3A21&f%5B1%5D=topic%3A61&f%5B2%5D=topic%3A71&f%5B3%5D=topic%3A671&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-e1a40034`  
**Pattern ID:** `VS-c18be945`  
**URL:** https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A111&f%5B3%5D=topic%3A121&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  
**XPath / selector:** `text: "Feedback"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 546 instances; 546 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### Description
Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 546 of 5543 scanned pages (546 instances).

### Steps to reproduce
1. Open https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A111&f%5B3%5D=topic%3A121&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.
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://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A111&f%5B3%5D=topic%3A121&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://cms.gov/newsroom/search?f%5B0%5D=topic%3A126&f%5B1%5D=topic%3A231&f%5B2%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%3A21&f%5B1%5D=topic%3A61&f%5B2%5D=topic%3A71&f%5B3%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=newsroom_article_type%3A29586&f%5B1%5D=topic%3A46&f%5B2%5D=topic%3A56&f%5B3%5D=topic%3A66&f%5B4%5D=topic%3A76&f%5B5%5D=topic%3A81&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
- http://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A81&f%5B2%5D=topic%3A111&f%5B3%5D=topic%3A221&f%5B4%5D=topic%3A436&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/search?f%5B0%5D=topic%3A116&f%5B1%5D=topic%3A121&f%5B2%5D=topic%3A841&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A126&f%5B3%5D=topic%3A161&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%3A46&f%5B1%5D=topic%3A196&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A436&f%5B4%5D=topic%3A441&f%5B5%5D=topic%3A446&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://cms.gov/priorities/burden-reduction/overview/interoperability/learn-about-fhir
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A66&f%5B1%5D=topic%3A121&f%5B2%5D=topic%3A231&f%5B3%5D=topic%3A671&f%5B4%5D=topic%3A911&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://cms.gov/newsroom/fact-sheets/contract-year-2026-policy-and-technical-changes-medicare-advantage-program-medicare-prescription
- https://www.cms.gov/about-cms/contact/database?page=12
- https://www.cms.gov/newsroom/press-releases/new-drug-coverage-hawaii-include-options-additional-benefits-and-saving-money
- https://cms.gov/medicare/health-plans/healthplansgeninfo/part-c-hpms-guidance-history-items/cms1255618
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29581&f%5B1%5D=topic%3A51&f%5B2%5D=topic%3A56&f%5B3%5D=topic%3A161&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/about-cms/contact/database?page=197
- https://www.cms.gov/newsroom/press-releases/readout-administrator-brooks-lasure-and-cms-leadership-meet-health-insurance-plans-and-associations
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A126&f%5B1%5D=topic%3A176&f%5B2%5D=topic%3A181&f%5B3%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%3A121&f%5B1%5D=topic%3A231&f%5B2%5D=topic%3A331&f%5B3%5D=topic%3A671&f%5B4%5D=topic%3A911&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/priorities/key-initiatives/burden-reduction/administrative-simplification/transactions
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A116&f%5B3%5D=topic%3A161&f%5B4%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=topic%3A61&f%5B1%5D=topic%3A66&f%5B2%5D=topic%3A71&f%5B3%5D=topic%3A141&f%5B4%5D=topic%3A231&items_per_page=10&sort_by=search_api_relevance&sort_order=DESC
- http://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A46&f%5B2%5D=topic%3A176&f%5B3%5D=topic%3A221&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medicare-fee-service-recovery-audit-program/approved-rac-topics?items_per_page=25&order=field_dyna_title&page=0&sort=asc
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A51&f%5B1%5D=topic%3A66&f%5B2%5D=topic%3A136&f%5B3%5D=topic%3A436&items_per_page=10&sort_by=search_api_relevance&sort_order=DESC

…and more — 546 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://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A76&f%5B2%5D=topic%3A111&f%5B3%5D=topic%3A121&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://cms.gov/newsroom/search?f%5B0%5D=topic%3A126&f%5B1%5D=topic%3A231&f%5B2%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%3A21&f%5B1%5D=topic%3A61&f%5B2%5D=topic%3A71&f%5B3%5D=topic%3A671&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-b0c11975`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14  
**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:** 281 instances; 280 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### Description
Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 280 of 5543 scanned pages (281 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14.
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://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38816&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34046&lcdStatus=all&sortBy=title&ver=28
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56152&articleStatus=all&bc=3&sortBy=title&ver=35
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55326&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=40
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59641&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=22
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55936&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52499&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=23
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57472&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58899&articleStatus=all&bc=3&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=40310&ver=20
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40232&lcdStatus=all&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34648&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57677&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39345&lcdStatus=all&sortBy=title&stateRegion=all&ver=3
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54685&ver=17
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55264&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=56326&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&sortBy=relevance&ver=27
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38288&lcdStatus=all&sortBy=title&ver=11
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35755&lcdStatus=all&sortBy=title&ver=33
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60176&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58530&ver=4
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35434&lcdStatus=all&sortBy=title&ver=30
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40257&lcdStatus=all&sortBy=title&ver=7
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56985&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15

…and more — 280 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://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38705&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38816&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34046&lcdStatus=all&sortBy=title&ver=28

---

## Table header has scope (WCAG criterion undetermined)

**Bug ID:** `VS-d5c5c8bf`  
**Pattern ID:** `VS-2cd767ca`  
**URL:** http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56152&articleStatus=all&bc=3&sortBy=title&ver=35  
**XPath / selector:** `<h4>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r78` ([reference](https://alfa.siteimprove.com/rules/sia-r78))  
**Severity:** Moderate  
**Frequency:** 170 instances; 121 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### Description
Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 121 of 5543 scanned pages (170 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56152&articleStatus=all&bc=3&sortBy=title&ver=35.
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=56152&articleStatus=all&bc=3&sortBy=title&ver=35
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55326&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=40
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59641&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=22
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57472&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0010.html
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34648&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57677&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54685&ver=17
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55264&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=56326&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&sortBy=relevance&ver=27
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60176&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56985&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57571&articleStatus=all&bc=3&sortBy=title&ver=9
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58836&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58790&articleStatus=all&bc=3&sortBy=title&ver=14
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37863&lcdStatus=all&sortBy=title&stateRegion=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58454&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=47
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38816&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57622&articleStatus=all&bc=3&sortBy=title&ver=17
- https://www.cms.gov/medicare-coverage-database/search-results.aspx?areaId=all&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=36469&sortBy=relevance
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59498&articleStatus=all&bc=3&sortBy=title&ver=10
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57125&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=22
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=39467&lcdStatus=all&sortBy=title&stateRegion=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57043&ver=19
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56973&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=67

…and more — 121 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=56152&articleStatus=all&bc=3&sortBy=title&ver=35
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55326&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=40
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59641&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=22

---

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

**Bug ID:** `VS-962dfd0a`  
**Pattern ID:** `VS-04a9d28c`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1218.html  
**XPath / selector:** `table`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `presentational-attr`  
**Severity:** Moderate  
**Frequency:** 446 instances; 24 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### HTML snippet
```html
<table class="hhshead" cellpadding="0" cellspacing="0" summary="HHS Header. Table for formatting only.">
	<tbody><tr><td class="hhsbann" align="left">
    <img class="hhsimg" src="hhs_left.gif" width=
```

### Description
Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 24 of 5543 scanned pages (446 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1218.html.
2. Locate the element: table
3. Confirm the deprecated-html finding for rule presentational-attr.

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

### Affected pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1218.html
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=296&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58454&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=47
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53032&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=132
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=296&proposed=N
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38371&lcdStatus=all&sortBy=title&ver=12
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37011&lcdStatus=all&sortBy=title&ver=22
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0379.html
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33447&lcdStatus=all&sortBy=title&ver=48
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=190&ncdver=4&sortBy=title
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0104.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0197.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=57954&bc=1&contractOption=all&docType=6%2C1&keyword=foot+care&keywordType=starts&sortBy=relevance&ver=73
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58511&ver=4
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55326&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=37
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58207&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=34
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35000&lcdStatus=all&sortBy=title&stateRegion=all&ver=155
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58996&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=31
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AAgAAAAACAAA&NCAId=273
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40334&lcdStatus=all&sortBy=title&ver=2
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59645&ver=16
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0074.html
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57733&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0111.html

### 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
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1218.html
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=296&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58454&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=47

---

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

**Bug ID:** `VS-91ed08db`  
**Pattern ID:** `VS-7fbb8b20`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1218.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:** 6 instances; 6 of 5543 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W31 (6 weeks)

### Description
Element with orientation is not locked. Detected by Siteimprove Alfa rule sia-r59 on 6 of 5543 scanned pages (6 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1218.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/P1218.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1353.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0726.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0316.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0111.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0884.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/P1218.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1353.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0726.html

---

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

**Bug ID:** `VS-ffc238f8`  
**Pattern ID:** `VS-e43903a1`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1218.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:** 12 instances; 6 of 5543 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W31 (6 weeks)

### Description
Form field error is identified and described. Detected by Siteimprove Alfa rule sia-r75 on 6 of 5543 scanned pages (12 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1218.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/P1218.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1353.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0726.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0316.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0111.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0884.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/P1218.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1353.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0726.html

---

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

**Bug ID:** `VS-decb2b75`  
**Pattern ID:** `VS-91d2294a`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=296&proposed=Y  
**XPath / selector:** `font`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `font-element`  
**Severity:** Moderate  
**Frequency:** 52 instances; 5 of 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (7 weeks)

### HTML snippet
```html
<font color="#FF0000">
<p>Effective for services performed on or after <span style="background-color: #FFFF00">[Month/XX] [Day/XX], [20XX]</span>, the CMS, proposes that NGS as a diagnostic laboratory
```

### Description
Obsolete <font> element (use CSS). Detected by deprecated-html rule font-element on 5 of 5543 scanned pages (52 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=296&proposed=Y.
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?fromTracking=Y&ncaid=296&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=296&proposed=N
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=190&ncdver=4&sortBy=title
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AAgAAAAACAAA&NCAId=273
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=378&ncdver=1&sortBy=title

### 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
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=296&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=296&proposed=N
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=190&ncdver=4&sortBy=title

---

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

**Bug ID:** `VS-d2768a3f`  
**Pattern ID:** `VS-3d033717`  
**URL:** https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=379&ncdver=1&sortBy=title  
**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:** 3 instances; 3 of 5543 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W31 (7 weeks)

### Description
No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 3 of 5543 scanned pages (3 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=379&ncdver=1&sortBy=title.
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://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=379&ncdver=1&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&ncaid=90&proposed=N&sortBy=title&year=2026
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=378&ncdver=1&sortBy=title

### 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

### Example pages
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=379&ncdver=1&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&ncaid=90&proposed=N&sortBy=title&year=2026
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=378&ncdver=1&sortBy=title

---

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

**Bug ID:** `VS-1376f9e1`  
**Pattern ID:** `VS-4c341c77`  
**URL:** https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=379&ncdver=1&sortBy=title  
**XPath / selector:** `<p>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r85` ([reference](https://alfa.siteimprove.com/rules/sia-r85))  
**Severity:** Moderate  
**Frequency:** 60 instances; 2 of 5543 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W31 (7 weeks)

### Description
Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 2 of 5543 scanned pages (60 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=379&ncdver=1&sortBy=title.
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
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=379&ncdver=1&sortBy=title
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=378&ncdver=1&sortBy=title

### 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
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=379&ncdver=1&sortBy=title
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=378&ncdver=1&sortBy=title

---

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

**Bug ID:** `VS-7b77fdd8`  
**Pattern ID:** `VS-f2542d87`  
**URL:** https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=215&proposed=N  
**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 5543 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W31 (8 weeks)

### Description
Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 2 of 5543 scanned pages (2 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=215&proposed=N.
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://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=215&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&ncaid=90&proposed=N&sortBy=title&year=2026

### 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://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=215&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&ncaid=90&proposed=N&sortBy=title&year=2026