# Accessibility bug reports — www.cms.gov, week 2026-W32

57 issue type(s) from 6846 pages scanned. Generated 2026-08-09 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-11cc7348`  
**Pattern ID:** `VS-179ad9b3`  
**URL:** https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html  
**XPath / selector:** `<a href="http://www.hhs.gov">`  
**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:** 236 instances; 121 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 121 of 6846 scanned pages (236 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html.
2. Locate the element: <a href="http://www.hhs.gov">
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://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=42
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57649&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59521&articleStatus=all&bc=3&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=56615&bc=1&contractOption=all&docType=6%2C1&keyword=cataract+extraction&keywordType=all&sortBy=relevance&ver=26
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59868&articleStatus=all&bc=3&sortBy=title&ver=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33822
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=37620&ver=16
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57663&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57873&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=31
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53252&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=236
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36125&ver=40
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57804&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=41
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60276&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=3
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39071&ver=16
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56914&articleStatus=all&bc=3&sortBy=title&ver=19
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56467&articleStatus=all&bc=3&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58052&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=9

…and more — 121 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://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42

---

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

**Bug ID:** `VS-ff344900`  
**Pattern ID:** `VS-f7dba940`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81  
**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:** 992 instances; 386 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 386 of 6846 scanned pages (992 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81.
2. Locate the element: <a id="aBasketManuButton" class="basket-icon log-click " title="View documents in your Basket" data-page-action="Clicked the Basket navbar link.">
3. Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40289&lcdStatus=all&sortBy=title&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&stateRegion=all&ver=29
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34084&lcdStatus=all&sortBy=title&stateRegion=all&ver=23
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=42
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52459&ver=23
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=23
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36941&lcdStatus=all&sortBy=title&ver=22
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34415&lcdStatus=all&sortBy=title&stateRegion=all&ver=58
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33686&lcdStatus=all&sortBy=title&stateRegion=all&ver=43
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37356&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55536&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39642&lcdStatus=all&sortBy=title&ver=11
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56329&articleStatus=all&bc=3&sortBy=title&ver=4
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54612&ver=4
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=323&sortBy=status&status=all
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57811&articleStatus=all&bc=3&sortBy=title&ver=2
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38769&lcdStatus=all&sortBy=title

…and more — 386 pages total ([download CSV](csv/alfa__sia-r14.csv)).

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7

---

## Images must have alternative text (WCAG 1.1.1)

**Bug ID:** `VS-f85889d4`  
**Pattern ID:** `VS-9074b4dd`  
**URL:** https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.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:** 53 instances; 53 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (8 weeks)

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

### Description
Images must have alternative text. Detected by axe-core rule image-alt on 53 of 6846 scanned pages (53 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html.
2. Locate the element: img[src$="cms-site-logo.png"]
3. Confirm the axe-core finding for rule image-alt against WCAG 1.1.1 Non-text Content.

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

### Affected pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0001.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0005.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0280.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0469.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0055.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0062.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0065.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0132.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0127.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0023.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0035.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0098.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0232.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0109.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0957.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0255.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0001.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0008.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0954.html

…and more — 53 pages total ([download CSV](csv/axe-core__image-alt.csv)).

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

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

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

### Example pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html

---

## ARIA progressbar nodes must have an accessible name (WCAG 1.1.1)

**Bug ID:** `VS-53916df7`  
**Pattern ID:** `VS-f7280372`  
**URL:** https://www.cms.gov/medicare-coverage-database/search-results.aspx?areaId=all&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39297&sortBy=relevance  
**XPath / selector:** `#searchResults > tfoot > tr > .text-center[colspan="5"][data-exclude="true"] > .ds-c-spinner[aria-valuetext="Loading"][role="progressbar"]`  
**WCAG SC:** 1.1.1 — Non-text Content (Level A)  
**Rule:** axe-core — `aria-progressbar-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-progressbar-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1 instances; 1 of 6846 pages affected
  
**History:** first seen 2026-W27, last seen 2026-W32 (3 weeks)

### HTML snippet
```html
<span class="ds-c-spinner" aria-valuetext="Loading" role="progressbar"></span>
```

### Description
ARIA progressbar nodes must have an accessible name. Detected by axe-core rule aria-progressbar-name on 1 of 6846 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/search-results.aspx?areaId=all&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39297&sortBy=relevance.
2. Locate the element: #searchResults > tfoot > tr > .text-center[colspan="5"][data-exclude="true"] > .ds-c-spinner[aria-valuetext="Loading"][role="progressbar"]
3. Confirm the axe-core finding for rule aria-progressbar-name 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://www.cms.gov/medicare-coverage-database/search-results.aspx?areaId=all&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39297&sortBy=relevance

### 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 progressbar an accessible name.

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

---

## Image has accessible name (WCAG 1.1.1)

**Bug ID:** `VS-8da3d128`  
**Pattern ID:** `VS-a24eaa8c`  
**URL:** https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.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:** 12 instances; 12 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (8 weeks)

### Description
Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 12 of 6846 scanned pages (12 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.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/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0055.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0132.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0232.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0109.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0957.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0012.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0006.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/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html

---

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

**Bug ID:** `VS-3b942efe`  
**Pattern ID:** `VS-a0bdbdf6`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35098&lcdStatus=all&sortBy=title&stateRegion=all&ver=28  
**XPath / selector:** `#lblCoverageIndication > ul:nth-child(5)`  
**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:** 1672 instances; 317 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

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

### Description
<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 317 of 6846 scanned pages (1672 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35098&lcdStatus=all&sortBy=title&stateRegion=all&ver=28.
2. Locate the element: #lblCoverageIndication > ul:nth-child(5)
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=8&contractorNumber=all&lcdid=35098&lcdStatus=all&sortBy=title&stateRegion=all&ver=28
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58250&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=14
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35093&lcdStatus=all&sortBy=title&stateRegion=all&ver=114
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38268&lcdStatus=all&sortBy=title&stateRegion=all&ver=11
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33567&lcdStatus=all&sortBy=title&stateRegion=all&ver=27
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34859&ver=34
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=40302&sortBy=relevance&ver=2
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34046&lcdStatus=all&sortBy=title&stateRegion=all&ver=29
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57238&articleStatus=all&bc=3&sortBy=title&ver=10
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34314&lcdStatus=all&sortBy=title&stateRegion=all&ver=53
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34084&lcdStatus=all&sortBy=title&stateRegion=all&ver=23
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34976&lcdStatus=all&sortBy=title&ver=34
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=9&lcdid=40404&proposedStatus=all&sortBy=title&ver=7
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33999&lcdStatus=all&sortBy=title&ver=21
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34553&ver=47
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=23
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55146&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&fromTracking=Y&ncaid=320&proposed=Y&sortBy=title&year=2026
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39490&sortBy=relevance&ver=7
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40377&proposedStatus=all&sortBy=title&stateRegion=all&ver=27
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36941&lcdStatus=all&sortBy=title&ver=22

…and more — 317 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=8&contractorNumber=all&lcdid=35098&lcdStatus=all&sortBy=title&stateRegion=all&ver=28
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58250&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=14

---

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

**Bug ID:** `VS-e8f4f9e1`  
**Pattern ID:** `VS-6175596b`  
**URL:** http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N  
**XPath / selector:** `li:nth-child(198)`  
**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:** 117 instances; 13 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

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

### Description
<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 13 of 6846 scanned pages (117 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N.
2. Locate the element: li:nth-child(198)
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
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=Y
- http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=274&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&TimeFrame=7
- https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=291&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?areaId=all&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&ncaid=246&proposed=N&sortBy=relevance
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34183&lcdStatus=all&sortBy=title&stateRegion=all&ver=20
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=82&sortBy=meetingdate&year=all
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=77&sortBy=meetingdate&year=all
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=21&doctype=all&ncaid=313&proposed=N&sortBy=updated&timeframe=30
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=289&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?bc=17&ncacaldoctype=all&ncaid=295&sortBy=status&status=all
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=N&sortBy=status&status=all

### 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
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=Y
- http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=274&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&TimeFrame=7

---

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

**Bug ID:** `VS-0aa01f63`  
**Pattern ID:** `VS-07ba3b17`  
**URL:** https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=12&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:** 2 instances; 2 of 6846 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W32 (8 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 2 of 6846 scanned pages (2 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=12&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/2020-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=12&sort=asc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_cr_number&page=15&sort=desc

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

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

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

### Example pages
- https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=12&sort=asc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_cr_number&page=15&sort=desc

---

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

**Bug ID:** `VS-40687a31`  
**Pattern ID:** `VS-d6097011`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81  
**XPath / selector:** `<ul type="disc">`  
**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:** 310 instances; 99 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 99 of 6846 scanned pages (310 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81.
2. Locate the element: <ul type="disc">
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/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34084&lcdStatus=all&sortBy=title&stateRegion=all&ver=23
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=23
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33686&lcdStatus=all&sortBy=title&stateRegion=all&ver=43
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37356&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=323&sortBy=status&status=all
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38769&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=80
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35702&lcdStatus=all&sortBy=title&ver=32
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=56615&bc=1&contractOption=all&docType=6%2C1&keyword=cataract+extraction&keywordType=all&sortBy=relevance&ver=26
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=34008&lcdStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34051&lcdStatus=all&sortBy=title&ver=43
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&stateRegion=all&ver=30
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34163&lcdStatus=all&sortBy=title&ver=28
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53252&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=236
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56148&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=33813&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=34526&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=39262&lcdStatus=all&sortBy=title&stateRegion=all
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=33623&lcdStatus=all&sortBy=title

…and more — 99 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/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18

---

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

**Bug ID:** `VS-c5d977f5`  
**Pattern ID:** `VS-4408605e`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7  
**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:** 52 instances; 34 of 6846 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W32 (8 weeks)

### Description
Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 34 of 6846 scanned pages (52 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7.
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=59807&ver=7
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57649&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59521&articleStatus=all&bc=3&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=56615&bc=1&contractOption=all&docType=6%2C1&keyword=cataract+extraction&keywordType=all&sortBy=relevance&ver=26
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56034&ver=39
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53252&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=236
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57804&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=41
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56914&articleStatus=all&bc=3&sortBy=title&ver=19
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56467&articleStatus=all&bc=3&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57201&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=7
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57843&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=12
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57707&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58216&articleStatus=all&bc=3&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59233&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57497&ver=14
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56941&articleStatus=all&bc=3&sortBy=title&ver=7
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57689&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=39
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=58592&bc=1&contractOption=all&docType=6%2C1&keyword=cataract+extraction&keywordType=all&sortBy=relevance&ver=6
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56455&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55057&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=8
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53017&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=32
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58867&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=19
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56615&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=36
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57540&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12

…and more — 34 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=59807&ver=7
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57649&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59521&articleStatus=all&bc=3&sortBy=title&ver=11

---

## Element has required owned roles (WCAG 1.3.1)

**Bug ID:** `VS-bd73d1a9`  
**Pattern ID:** `VS-3c632d31`  
**URL:** https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.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:** 14 instances; 14 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 14 of 6846 scanned pages (14 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.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/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0055.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0132.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0232.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0109.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0957.html
- http://cms.gov/marketplace/about/health-insurance-marketplace-quality-initiatives
- https://www.cms.gov/marketplace/about/health-insurance-marketplace-quality-initiatives
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0012.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0006.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/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html

---

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

**Bug ID:** `VS-a4592ce0`  
**Pattern ID:** `VS-9207ed51`  
**URL:** https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=12&sort=asc  
**XPath / selector:** `@headers="view-field-dyna-transmittal-number-table-column"`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r45` ([reference](https://alfa.siteimprove.com/rules/sia-r45))  
**Severity:** Moderate  
**Frequency:** 138 instances; 2 of 6846 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W32 (5 weeks)

### Description
aria-hidden element is not exposed to assistive technology. Detected by Siteimprove Alfa rule sia-r45 on 2 of 6846 scanned pages (138 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=12&sort=asc.
2. Locate the element: @headers="view-field-dyna-transmittal-number-table-column"
3. Confirm the Siteimprove Alfa finding for rule sia-r45 against WCAG 1.3.1 Info and Relationships.

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

### Affected pages
- https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=12&sort=asc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_cr_number&page=15&sort=desc

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

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

### Example pages
- https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=12&sort=asc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_cr_number&page=15&sort=desc

---

## Table cell has header (WCAG 1.3.1)

**Bug ID:** `VS-5d479168`  
**Pattern ID:** `VS-3f067795`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=7&sortBy=meetingdate&year=all  
**XPath / selector:** `<td>`  
**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:** 1 instances; 1 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 1 of 6846 scanned pages (1 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=7&sortBy=meetingdate&year=all.
2. Locate the element: <td>
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
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=7&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

---

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

**Bug ID:** `VS-5b227538`  
**Pattern ID:** `VS-8ade3360`  
**URL:** http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=358&ncdver=1&sortBy=title  
**XPath / selector:** `li:nth-child(7) > a[href$="www.icmje.org"]`  
**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:** 1186 instances; 562 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### HTML snippet
```html
<a href="http://www.icmje.org">
```

### Description
Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 562 of 6846 scanned pages (1186 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=358&ncdver=1&sortBy=title.
2. Locate the element: li:nth-child(7) > a[href$="www.icmje.org"]
3. Confirm the axe-core finding for rule link-in-text-block against WCAG 1.4.1 Use of Color.

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

### Affected pages
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=358&ncdver=1&sortBy=title
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35093&lcdStatus=all&sortBy=title&stateRegion=all&ver=114
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38667&ver=4
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38268&lcdStatus=all&sortBy=title&stateRegion=all&ver=11
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34859&ver=34
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40289&lcdStatus=all&sortBy=title&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38288&lcdStatus=all&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=40302&sortBy=relevance&ver=2
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&stateRegion=all&ver=29
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38745&lcdStatus=all&sortBy=title&ver=17
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34976&lcdStatus=all&sortBy=title&ver=34
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=289&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37598&lcdStatus=all&sortBy=title&ver=21
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=9&lcdid=40404&proposedStatus=all&sortBy=title&ver=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34553&ver=47
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=23
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33445&ver=71
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39490&sortBy=relevance&ver=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39262&lcdStatus=all&sortBy=title&stateRegion=all&ver=8
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37618&lcdStatus=all&sortBy=title&ver=16
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36941&lcdStatus=all&sortBy=title&ver=22
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34415&lcdStatus=all&sortBy=title&stateRegion=all&ver=58

…and more — 562 pages total ([download CSV](csv/axe-core__link-in-text-block.csv)).

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

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

### Example pages
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=358&ncdver=1&sortBy=title
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35093&lcdStatus=all&sortBy=title&stateRegion=all&ver=114
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38667&ver=4

---

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

**Bug ID:** `VS-4fa2c827`  
**Pattern ID:** `VS-efd91fdd`  
**URL:** https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58376&articleStatus=all&bc=3&sortBy=title&ver=47  
**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 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (8 weeks)

### Description
Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 4 of 6846 scanned pages (4 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58376&articleStatus=all&bc=3&sortBy=title&ver=47.
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
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58376&articleStatus=all&bc=3&sortBy=title&ver=47
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52370&ver=109
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58741&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=15
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57527&bc=0&ver=25

### 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
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58376&articleStatus=all&bc=3&sortBy=title&ver=47
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52370&ver=109
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58741&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=15

---

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

**Bug ID:** `VS-116d5184`  
**Pattern ID:** `VS-c613c153`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=230&proposed=N  
**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 6846 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W32 (5 weeks)

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

### Description
Scrollable region must have keyboard access. Detected by axe-core rule scrollable-region-focusable on 1 of 6846 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=230&proposed=N.
2. Locate the element: pre
3. Confirm the axe-core finding for rule scrollable-region-focusable against WCAG 2.1.1 Keyboard.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=230&proposed=N

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

### Suggested fix
**How to fix:** 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-5133e587`  
**Pattern ID:** `VS-e9fe47ac`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&fromTracking=Y&ncaid=320&proposed=Y&sortBy=title&year=2026  
**XPath / selector:** `ol[type="A"] > a[href$="#5A"]`  
**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:** 7 instances; 3 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### HTML snippet
```html
<a href="#5A">
</a>
```

### Description
Links must have discernible text. Detected by axe-core rule link-name on 3 of 6846 scanned pages (7 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&fromTracking=Y&ncaid=320&proposed=Y&sortBy=title&year=2026.
2. Locate the element: ol[type="A"] > a[href$="#5A"]
3. Confirm the axe-core finding for rule link-name against WCAG 2.4.4 Link Purpose (In Context).

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&fromTracking=Y&ncaid=320&proposed=Y&sortBy=title&year=2026
- https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments
- http://www.cms.gov/medicare/medicaid-coordination/about/resources-integrated-care

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

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&fromTracking=Y&ncaid=320&proposed=Y&sortBy=title&year=2026
- https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments
- http://www.cms.gov/medicare/medicaid-coordination/about/resources-integrated-care

---

## Link has accessible name (WCAG 2.4.4)

**Bug ID:** `VS-65ff71a0`  
**Pattern ID:** `VS-28ebd979`  
**URL:** https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments  
**XPath / selector:** `<a href="/files/document/clia-cert-quick-start-guide.pdf" data-entity-substitution="canonical" data-entity-type="media" data-entity-uuid="27ce5119-858b-44f2-bbc6-c5d2d56ce4f0">`  
**WCAG SC:** 2.4.4 — Link Purpose (In Context) (Level A)  
**Rule:** Siteimprove Alfa — `sia-r11` ([reference](https://alfa.siteimprove.com/rules/sia-r11))  
**Severity:** Moderate  
**Frequency:** 2 instances; 1 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 1 of 6846 scanned pages (2 instances).

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

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

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

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

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

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

---

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

**Bug ID:** `VS-237e6a42`  
**Pattern ID:** `VS-c126b6a6`  
**URL:** https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.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:** 71 instances; 71 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

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

### Description
<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 71 of 6846 scanned pages (71 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html.
2. Locate the element: html
3. Confirm the axe-core finding for rule html-has-lang against WCAG 3.1.1 Language of Page.

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

### Affected pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1230.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0001.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0005.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0280.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0469.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0055.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0436.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0062.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0065.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1549.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0132.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0127.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1327.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0023.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1135.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0755.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1915.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0035.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0098.html

…and more — 71 pages total ([download CSV](csv/axe-core__html-has-lang.csv)).

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

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

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

### Example pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html

---

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

**Bug ID:** `VS-7927e1fb`  
**Pattern ID:** `VS-7a0e5645`  
**URL:** https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.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:** 17 instances; 17 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 17 of 6846 scanned pages (17 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.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/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0055.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0132.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0161.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0232.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0109.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0957.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0280.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0365.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0323.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0012.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0006.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1463.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/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html

---

## Form elements must have labels (WCAG 4.1.2)

**Bug ID:** `VS-be87463f`  
**Pattern ID:** `VS-fafffee0`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1230.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:** 19 instances; 19 of 6846 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W32 (7 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 19 of 6846 scanned pages (19 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1230.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/P1230.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0436.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1549.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1327.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1135.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0755.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1915.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0161.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0511.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0273.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0603.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1180.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0280.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0365.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0323.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1364.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1354.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1463.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0749.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/P1230.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0436.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1549.html

---

## Select element must have an accessible name (WCAG 4.1.2)

**Bug ID:** `VS-7f4423f1`  
**Pattern ID:** `VS-fab92378`  
**URL:** http://www.cms.gov/priorities/innovation/innovation-models/map  
**XPath / selector:** `#state-code-select`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `select-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 1 instances; 1 of 6846 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W32 (4 weeks)

### HTML snippet
```html
<select id="state-code-select" class="form-select ds-c-field">
```

### Description
Select element must have an accessible name. Detected by axe-core rule select-name on 1 of 6846 scanned pages (1 instances).

### Steps to reproduce
1. Open http://www.cms.gov/priorities/innovation/innovation-models/map.
2. Locate the element: #state-code-select
3. Confirm the axe-core finding for rule select-name 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
- http://www.cms.gov/priorities/innovation/innovation-models/map

### 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 <select> an accessible name via a <label> or aria-label.

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

---

## Form field has accessible name (WCAG 4.1.2)

**Bug ID:** `VS-4aa85a1d`  
**Pattern ID:** `VS-a48e6078`  
**URL:** http://www.cms.gov/priorities/innovation/innovation-models/map  
**XPath / selector:** `<select id="state-code-select" class="form-select ds-c-field">`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** Siteimprove Alfa — `sia-r8` ([reference](https://alfa.siteimprove.com/rules/sia-r8))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 6846 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W32 (6 weeks)

### Description
Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 1 of 6846 scanned pages (1 instances).

### Steps to reproduce
1. Open http://www.cms.gov/priorities/innovation/innovation-models/map.
2. Locate the element: <select id="state-code-select" class="form-select ds-c-field">
3. Confirm the Siteimprove Alfa finding for rule sia-r8 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
- http://www.cms.gov/priorities/innovation/innovation-models/map

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

### Suggested fix
**How to fix:** Associate the form field with a label.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r8

---

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

**Bug ID:** `VS-c46ec469`  
**Pattern ID:** `VS-be8d563e`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52521&ver=55  
**XPath / selector:** `tr:nth-child(1) > td:nth-child(1) > p`  
**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:** 238 instances; 19 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### HTML snippet
```html
<p style="line-height: normal;">Column I</p>
```

### Description
Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 19 of 6846 scanned pages (238 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52521&ver=55.
2. Locate the element: tr:nth-child(1) > td:nth-child(1) > p
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/article.aspx?articleId=52521&ver=55
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=291&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34425&lcdStatus=all&sortBy=title&ver=43
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33393&ver=9
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=33318&sortBy=relevance&ver=63
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=315&proposed=Y
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&ver=47
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33393&lcdStatus=all&sortBy=title&ver=5
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39462&lcdStatus=all&sortBy=title&stateRegion=all&ver=8
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&stateRegion=all&ver=53
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52461&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=21
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=21&doctype=all&ncaid=313&proposed=N&sortBy=updated&timeframe=30
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&stateRegion=all&ver=52
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52508&articleStatus=all&bc=3&sortBy=title&ver=39
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37921&lcdStatus=all&sortBy=title&ver=18
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=N&sortBy=status&status=all
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33624&lcdStatus=all&sortBy=title&ver=34

### 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/article.aspx?articleId=52521&ver=55
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=Y

---

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

**Bug ID:** `VS-0752f71c`  
**Pattern ID:** `VS-f7e99f4b`  
**URL:** http://cms.gov/priorities/innovation/innovation-models/chart-model  
**XPath / selector:** `text: "State & Community-Based Models"`  
**WCAG SC:** 1.4.3 — Contrast (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r69` ([reference](https://alfa.siteimprove.com/rules/sia-r69))  
**Severity:** Moderate  
**Frequency:** 43 instances; 5 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 5 of 6846 scanned pages (43 instances).

### Steps to reproduce
1. Open http://cms.gov/priorities/innovation/innovation-models/chart-model.
2. Locate the element: text: "State & Community-Based Models"
3. Confirm the Siteimprove Alfa finding for rule sia-r69 against WCAG 1.4.3 Contrast (Minimum).

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

### Affected pages
- http://cms.gov/priorities/innovation/innovation-models/chart-model
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&ver=47
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&stateRegion=all&ver=53
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52508&articleStatus=all&bc=3&sortBy=title&ver=39
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37921&lcdStatus=all&sortBy=title&ver=18

### 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://cms.gov/priorities/innovation/innovation-models/chart-model
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&ver=47
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&stateRegion=all&ver=53

---

## Zooming and scaling must not be disabled (WCAG 1.4.4)

**Bug ID:** `VS-13cd516f`  
**Pattern ID:** `VS-6c86a43a`  
**URL:** https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html  
**XPath / selector:** `meta[name="viewport"]`  
**WCAG SC:** 1.4.4 — Resize Text (Level AA)  
**Rule:** axe-core — `meta-viewport` ([reference](https://dequeuniversity.com/rules/axe/4.12/meta-viewport?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (6 weeks)

### HTML snippet
```html
<meta name="viewport" content="width=device-width,initial-scale=1,user-scalable=no,shrink-to-fit=no,minimal-ui">
```

### Description
Zooming and scaling must not be disabled. Detected by axe-core rule meta-viewport on 1 of 6846 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html.
2. Locate the element: meta[name="viewport"]
3. Confirm the axe-core finding for rule meta-viewport against WCAG 1.4.4 Resize Text.

### Impact
Affects Limited vision (2.4%).
- **Limited vision** (2.4% of population)

### Affected pages
- https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.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:** Don't disable zoom (user-scalable=no / maximum-scale=1); low-vision users need to zoom.

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

---

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

**Bug ID:** `VS-8f470a84`  
**Pattern ID:** `VS-dd1c019f`  
**URL:** https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings  
**XPath / selector:** `a[href$="#_ftnref1"] > span[lang="X-NONE"]`  
**WCAG SC:** 3.1.2 — Language of Parts (Level AA)  
**Rule:** axe-core — `valid-lang` ([reference](https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1 instances; 1 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

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

### Description
lang attribute must have a valid value. Detected by axe-core rule valid-lang on 1 of 6846 scanned pages (1 instances).

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

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

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

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

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

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-4dde741c`  
**Pattern ID:** `VS-646b1e0b`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81  
**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:** 2642 instances; 386 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 386 of 6846 scanned pages (2642 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81.
2. Locate the element: text: "Here's how you know"
3. Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced).

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40289&lcdStatus=all&sortBy=title&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&stateRegion=all&ver=29
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34084&lcdStatus=all&sortBy=title&stateRegion=all&ver=23
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=42
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52459&ver=23
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=23
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36941&lcdStatus=all&sortBy=title&ver=22
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34415&lcdStatus=all&sortBy=title&stateRegion=all&ver=58
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33686&lcdStatus=all&sortBy=title&stateRegion=all&ver=43
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37356&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55536&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39642&lcdStatus=all&sortBy=title&ver=11
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56329&articleStatus=all&bc=3&sortBy=title&ver=4
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54612&ver=4
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=323&sortBy=status&status=all
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57811&articleStatus=all&bc=3&sortBy=title&ver=2
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38769&lcdStatus=all&sortBy=title

…and more — 386 pages total ([download CSV](csv/alfa__sia-r66.csv)).

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

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7

---

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

**Bug ID:** `VS-dc3f5ce0`  
**Pattern ID:** `VS-2208081b`  
**URL:** http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009  
**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:** 10353 instances; 820 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 820 of 6846 scanned pages (10353 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009.
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
- http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81
- http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10281demo
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7
- https://www.cms.gov/outreach-and-education/outreach/partnerships/publications-partners/3-tips-help-someone-who-lost-medicaid-or-chip-coverage
- https://www.cms.gov/data-research/statistics-trends-and-reports/medicare-fee-for-service-parts-a-b
- http://cms.gov/newsroom/press-releases/new-medicare-part-d-opioid-drug-mapping-tool-available
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40289&lcdStatus=all&sortBy=title&ver=6
- http://www.cms.gov/about-cms/information-systems/privacy/privacy-impact-assessment-pia
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72
- https://cms.gov/medicare/regulations-guidance/physician-self-referral/specialty-hospital-advisory-opinions
- https://www.cms.gov/medicare/forms-notices/cms-forms-list
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42
- https://cms.gov/medicare/fraud-and-abuse/physicianselfreferral/specialty-hospital-advisory-opinions-items/cms1234002
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&stateRegion=all&ver=29
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34084&lcdStatus=all&sortBy=title&stateRegion=all&ver=23
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=42
- https://www.cms.gov/glossary?items_per_page=10&order=body&page=23&sort=asc&term=&viewmode=grid
- https://cms.gov/medicare/regulations-guidance/transmittals/2024-transmittals?items_per_page=25&order=field_dyna_issue_date&page=12&sort=desc
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2016-transmittals-items/r1633otn
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52459&ver=23

…and more — 820 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
- http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81
- http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10281demo

---

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

**Bug ID:** `VS-7ad70426`  
**Pattern ID:** `VS-fbf54eba`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81  
**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:** 30519 instances; 385 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 385 of 6846 scanned pages (30519 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81.
2. Locate the element: <p class="mb-2">
3. Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40289&lcdStatus=all&sortBy=title&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&stateRegion=all&ver=29
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34084&lcdStatus=all&sortBy=title&stateRegion=all&ver=23
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=42
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52459&ver=23
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=23
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36941&lcdStatus=all&sortBy=title&ver=22
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34415&lcdStatus=all&sortBy=title&stateRegion=all&ver=58
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33686&lcdStatus=all&sortBy=title&stateRegion=all&ver=43
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37356&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55536&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39642&lcdStatus=all&sortBy=title&ver=11
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56329&articleStatus=all&bc=3&sortBy=title&ver=4
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54612&ver=4
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=323&sortBy=status&status=all
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57811&articleStatus=all&bc=3&sortBy=title&ver=2
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38769&lcdStatus=all&sortBy=title

…and more — 385 pages total ([download CSV](csv/alfa__sia-r74.csv)).

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7

---

## Scrollable element is keyboard accessible (WCAG 1.4.8)

**Bug ID:** `VS-45d1a70a`  
**Pattern ID:** `VS-388b5438`  
**URL:** http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16  
**XPath / selector:** `<p style="line-height: 14.3pt;">`  
**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:** 493 instances; 37 of 6846 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W32 (8 weeks)

### Description
Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 37 of 6846 scanned pages (493 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16.
2. Locate the element: <p style="line-height: 14.3pt;">
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/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=9
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39642&lcdStatus=all&sortBy=title&ver=11
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56329&articleStatus=all&bc=3&sortBy=title&ver=4
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58743&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=5
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37725&lcdStatus=all&sortBy=title&ver=44
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&stateRegion=all&ver=30
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=15
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35724&lcdStatus=all&sortBy=title&ver=80
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58052&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58168&ver=33
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56199&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=130
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38777&lcdStatus=all&sortBy=title&stateRegion=all&ver=7
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59233&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=18
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58168&articleStatus=all&bc=3&sortBy=title&ver=33
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&ver=32
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34372&lcdStatus=all&sortBy=title&stateRegion=all&ver=22
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58710&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=76
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37748&lcdStatus=all&sortBy=title&ver=28
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38551&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/cms20033-reconsideration-request-form
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39644&lcdStatus=all&sortBy=title&stateRegion=all&ver=12
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37547&lcdStatus=all&sortBy=title&ver=22
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58170&ver=33
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37748&lcdStatus=all&sortBy=title&ver=31

…and more — 37 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/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=9
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39642&lcdStatus=all&sortBy=title&ver=11

---

## iframe element is not empty (WCAG 1.4.8)

**Bug ID:** `VS-ace32e87`  
**Pattern ID:** `VS-48291402`  
**URL:** http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16  
**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:** 78 instances; 14 of 6846 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W32 (8 weeks)

### Description
iframe element is not empty. Detected by Siteimprove Alfa rule sia-r71 on 14 of 6846 scanned pages (78 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16.
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
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=9
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56329&articleStatus=all&bc=3&sortBy=title&ver=4
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&stateRegion=all&ver=30
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59714&ver=8
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&ver=15
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59084&articleStatus=all&bc=3&sortBy=title&ver=4
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38773&lcdStatus=all&sortBy=title&ver=32
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39226&lcdStatus=all&sortBy=title&ver=13
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39015&lcdStatus=all&sortBy=title&ver=15
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58613&articleStatus=all&bc=3&sortBy=title&ver=4
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39770&sortBy=relevance&ver=15
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33794&lcdStatus=all&sortBy=title&ver=153

### 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
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=9

---

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

**Bug ID:** `VS-83124642`  
**Pattern ID:** `VS-cb53cc4d`  
**URL:** http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009  
**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:** 29697 instances; 822 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 822 of 6846 scanned pages (29697 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009.
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
- http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81
- http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10281demo
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7
- https://www.cms.gov/outreach-and-education/outreach/partnerships/publications-partners/3-tips-help-someone-who-lost-medicaid-or-chip-coverage
- https://www.cms.gov/data-research/statistics-trends-and-reports/medicare-fee-for-service-parts-a-b
- http://cms.gov/newsroom/press-releases/new-medicare-part-d-opioid-drug-mapping-tool-available
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40289&lcdStatus=all&sortBy=title&ver=6
- http://www.cms.gov/about-cms/information-systems/privacy/privacy-impact-assessment-pia
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72
- https://cms.gov/medicare/regulations-guidance/physician-self-referral/specialty-hospital-advisory-opinions
- https://www.cms.gov/medicare/forms-notices/cms-forms-list
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42
- https://cms.gov/medicare/fraud-and-abuse/physicianselfreferral/specialty-hospital-advisory-opinions-items/cms1234002
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&stateRegion=all&ver=29
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34084&lcdStatus=all&sortBy=title&stateRegion=all&ver=23
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=42
- https://www.cms.gov/glossary?items_per_page=10&order=body&page=23&sort=asc&term=&viewmode=grid
- https://cms.gov/medicare/regulations-guidance/transmittals/2024-transmittals?items_per_page=25&order=field_dyna_issue_date&page=12&sort=desc
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2016-transmittals-items/r1633otn
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52459&ver=23

…and more — 822 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
- http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81
- http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10281demo

---

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

**Bug ID:** `VS-e45efc3a`  
**Pattern ID:** `VS-bd13f00a`  
**URL:** https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html  
**XPath / selector:** `td[width="31"]:nth-child(3) > a[accesskey="p"][href$="P0248.html"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `accesskeys` ([reference](https://dequeuniversity.com/rules/axe/4.12/accesskeys?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 24 instances; 8 of 6846 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W32 (6 weeks)

### HTML snippet
```html
<a accesskey="p" id="prev_page" href="P0248.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 8 of 6846 scanned pages (24 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html.
2. Locate the element: td[width="31"]:nth-child(3) > a[accesskey="p"][href$="P0248.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/P0249.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0008.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0031.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0119.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0153.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0023.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0149.html

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

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

### Example pages
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0008.html

---

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

**Bug ID:** `VS-95702c52`  
**Pattern ID:** `VS-d25f622d`  
**URL:** https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37919&lcdStatus=all&sortBy=title  
**XPath / selector:** `#navStickyHeader`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `heading-order` ([reference](https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 278 instances; 272 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 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 272 of 6846 scanned pages (278 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37919&lcdStatus=all&sortBy=title.
2. Locate the element: #navStickyHeader
3. Confirm the axe-core finding for rule heading-order.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37919&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34399&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdStatus=all
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=38803&lcdStatus=all&sortBy=title&stateRegion=all
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=34049&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33576&lcdStatus=all&sortBy=title&stateRegion=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&fromTracking=Y&ncaid=320&proposed=Y&sortBy=title&year=2026
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=34429&lcdStatus=all&sortBy=title&stateRegion=all
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=34771&lcdStatus=all&sortBy=title&stateRegion=all
- https://www.cms.gov/initiatives/medicare-prescription-drug-affordability/overview/medicare-drug-price-negotiation-program/pharmacy-dispensing-entity-resources
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37356&lcdStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34090&lcdStatus=all&sortBy=title
- https://cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2FASCPayment%2Fdownloads%2F2018-ASC-Policy-Files-V2.zip
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=35101&lcdStatus=all&sortBy=title&stateRegion=all
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33996&lcdStatus=all&sortBy=title&stateRegion=all
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=80&proposed=N
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40196&proposedStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38769&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40355&proposedStatus=all&sortBy=title
- https://www.cms.gov/apps/ama/license.asp?file=%2FResearch-Statistics-Data-and-Systems%2FStatistics-Trends-and-Reports%2FMedicareMedicaidStatSupp%2FDownloads%2F2013Outpatient.zip
- https://www.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/view/ncacal-decision-memo.aspx?ncaid=291&proposed=Y
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=34008&lcdStatus=all&sortBy=title
- https://cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2FASCPayment%2Fdownloads%2FApril-2018-ASC-Policy-Files.zip

…and more — 272 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-alphabetical-report.aspx?lcdid=37919&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34399&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdStatus=all

---

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

**Bug ID:** `VS-b1b50222`  
**Pattern ID:** `VS-f18df681`  
**URL:** https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.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:** 1359 instances; 73 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

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

### Description
All page content should be contained by landmarks. Detected by axe-core rule region on 73 of 6846 scanned pages (1359 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html.
2. Locate the element: .arrows > tbody > tr:nth-child(1)
3. Confirm the axe-core finding for rule region.

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

### Affected pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1230.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0001.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0005.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0280.html
- https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0469.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0055.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0436.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0062.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0065.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1549.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0132.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0127.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1327.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0023.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1135.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0755.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1915.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0035.html

…and more — 73 pages total ([download CSV](csv/axe-core__region.csv)).

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

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

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

### Example pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html

---

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

**Bug ID:** `VS-994d8a02`  
**Pattern ID:** `VS-d5d82446`  
**URL:** https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.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:** 71 instances; 71 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

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

### Description
Document should have one main landmark. Detected by axe-core rule landmark-one-main on 71 of 6846 scanned pages (71 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html.
2. Locate the element: html
3. Confirm the axe-core finding for rule landmark-one-main.

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

### Affected pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1230.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0001.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0005.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0280.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0469.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0055.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0436.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0062.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0065.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1549.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0132.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0127.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1327.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0023.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1135.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0755.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1915.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0035.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0098.html

…and more — 71 pages total ([download CSV](csv/axe-core__landmark-one-main.csv)).

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

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

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

### Example pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html

---

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

**Bug ID:** `VS-d0b80e01`  
**Pattern ID:** `VS-fa44f293`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1230.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:** 34 instances; 34 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

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

### Description
Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 34 of 6846 scanned pages (34 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1230.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/P1230.html
- https://www.cms.gov/medicaid-chip/community-engagement-support/eligibility-made-easy
- http://www.cms.gov/priorities/key-initiatives/hospital-price-transparency/enforcement-actions
- https://www.cms.gov/About-CMS/Agency-Information/Emergency/index.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0436.html
- https://www.cms.gov/derechos-facturas-medicas/ayuda/guias/explicacion-de-beneficios
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1549.html
- https://www.cms.gov/data-research/cms-information-technology/tlc
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1327.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1135.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0755.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1915.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0161.html
- https://www.cms.gov/medicare/medicaid-coordination/states/medicaid-integrity-program
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0511.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0273.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0603.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1180.html
- http://cms.gov/nosurprises/policies-and-resources
- https://cms.gov/derechos-facturas-medicas/conozca-sus-derechos/sin-seguro
- https://www.cms.gov/helpful-things-know
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0280.html
- https://www.cms.gov/medical-bill-rights/help
- https://www.cms.gov/medical-bill-rights/help/guides
- https://www.cms.gov/medical-bill-rights

…and more — 34 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/P1230.html
- https://www.cms.gov/medicaid-chip/community-engagement-support/eligibility-made-easy
- http://www.cms.gov/priorities/key-initiatives/hospital-price-transparency/enforcement-actions

---

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

**Bug ID:** `VS-9c0a04cd`  
**Pattern ID:** `VS-0ba8ce9d`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=80&proposed=N  
**XPath / selector:** `td[width="25%"]`  
**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:** 448 instances; 20 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### HTML snippet
```html
<td scope="row" width="25%">August 23, 2001</td>
```

### Description
scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 20 of 6846 scanned pages (448 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=80&proposed=N.
2. Locate the element: td[width="25%"]
3. Confirm the axe-core finding for rule scope-attr-valid.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=80&proposed=N
- http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=274&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&TimeFrame=7
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=331&ncdver=3
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?areaId=all&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&ncaid=246&proposed=N&sortBy=relevance
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=236&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=206&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=230&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=96&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?areaId=all&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&ncaid=252&proposed=Y&sortBy=relevance
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=218&proposed=Y
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38571&lcdStatus=all&sortBy=title&ver=9
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=19&proposed=N
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=52
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=176&proposed=N
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=197&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=237&proposed=N
- http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=204
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=211&ncdver=1&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?areaId=all&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&ncaid=228&proposed=N&sortBy=relevance
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=109&proposed=Y

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=80&proposed=N
- http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=274&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&TimeFrame=7
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=331&ncdver=3

---

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

**Bug ID:** `VS-326ec43c`  
**Pattern ID:** `VS-8806389c`  
**URL:** https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint  
**XPath / selector:** `.usa-nav`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-unique` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 5 instances; 5 of 6846 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W32 (8 weeks)

### HTML snippet
```html
<nav class="usa-nav">
```

### Description
Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 5 of 6846 scanned pages (5 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint.
2. Locate the element: .usa-nav
3. Confirm the axe-core finding for rule landmark-unique.

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

### Affected pages
- https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint
- http://www.cms.gov/priorities/innovation/innovation-models/map
- https://www.cms.gov/about-cms/contact/newsroom
- http://www.cms.gov/priorities/innovation/events
- https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.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:** When a landmark role/type repeats (e.g. two <nav>s), give each a distinct accessible name with aria-label or aria-labelledby (e.g. "Primary" and "Footer" navigation) so screen-reader users can tell them apart.

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

### Example pages
- https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint
- http://www.cms.gov/priorities/innovation/innovation-models/map
- https://www.cms.gov/about-cms/contact/newsroom

---

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

**Bug ID:** `VS-59726dc1`  
**Pattern ID:** `VS-ff3ceb19`  
**URL:** https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html  
**XPath / selector:** `#NAV_MAIN`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-main-is-top-level` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 6846 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W32 (3 weeks)

### HTML snippet
```html
<div id="NAV_MAIN" role="main">
```

### Description
Main landmark should not be contained in another landmark. Detected by axe-core rule landmark-main-is-top-level on 1 of 6846 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html.
2. Locate the element: #NAV_MAIN
3. Confirm the axe-core finding for rule landmark-main-is-top-level.

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

### Affected pages
- https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.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/landmark-main-is-top-level?application=axeAPI

---

## Document should not have more than one main landmark (WCAG criterion undetermined)

**Bug ID:** `VS-4e669f32`  
**Pattern ID:** `VS-cd69be3a`  
**URL:** https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html  
**XPath / selector:** `main`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-no-duplicate-main` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 6846 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W32 (3 weeks)

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

### Description
Document should not have more than one main landmark. Detected by axe-core rule landmark-no-duplicate-main on 1 of 6846 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html.
2. Locate the element: main
3. Confirm the axe-core finding for rule landmark-no-duplicate-main.

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

### Affected pages
- https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.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/landmark-no-duplicate-main?application=axeAPI

---

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

**Bug ID:** `VS-d6a1ce6c`  
**Pattern ID:** `VS-0066c67d`  
**URL:** https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html  
**XPath / selector:** `h1:nth-child(2)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `empty-heading` ([reference](https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 59 instances; 59 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

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

### Description
Headings should not be empty. Detected by axe-core rule empty-heading on 59 of 6846 scanned pages (59 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html.
2. Locate the element: h1:nth-child(2)
3. Confirm the axe-core finding for rule empty-heading.

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

### Affected pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0001.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0005.html
- https://cms.gov/marketplace/about/oversight/other-insurance-protections/prescription-drug-data-collection-rxdc
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0280.html
- https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0469.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0055.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0062.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0065.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0132.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0127.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0023.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0035.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0098.html
- https://www.cms.gov/about-cms/what-we-do/nursing-homes
- http://www.cms.gov/training-education/medicare-learning-networkr-mln/compliance/medicare-provider-compliance-tips/annual-wellness-visits
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0232.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0109.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0957.html

…and more — 59 pages total ([download CSV](csv/axe-core__empty-heading.csv)).

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

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

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

### Example pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0249.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html

---

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

**Bug ID:** `VS-248febe6`  
**Pattern ID:** `VS-d69fc059`  
**URL:** http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N  
**XPath / selector:** `.MsoTableGrid[border="1"]:nth-child(224) > tbody > tr[bgcolor="#c0c0c0"] > th[scope="col"]: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:** 17 instances; 10 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### HTML snippet
```html
<th scope="col">&nbsp;</th>
```

### Description
Table header text should not be empty. Detected by axe-core rule empty-table-header on 10 of 6846 scanned pages (17 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N.
2. Locate the element: .MsoTableGrid[border="1"]:nth-child(224) > tbody > tr[bgcolor="#c0c0c0"] > th[scope="col"]: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
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N
- http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=274&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&TimeFrame=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=36868&ver=16
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56104&articleStatus=all&bc=3&sortBy=title&ver=17
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=218&proposed=Y
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=21&doctype=all&ncaid=313&proposed=N&sortBy=updated&timeframe=30
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=197&proposed=Y
- https://cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=4&sortBy=meetingdate&year=all
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=211&ncdver=1&sortBy=title
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=7&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
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=291&proposed=N
- http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=274&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&TimeFrame=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=36868&ver=16

---

## ARIA role should be appropriate for the element (WCAG criterion undetermined)

**Bug ID:** `VS-e6a0b5f2`  
**Pattern ID:** `VS-4fac2f41`  
**URL:** https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint  
**XPath / selector:** `.usa-nav__primary`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `aria-allowed-role` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 2 instances; 2 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (6 weeks)

### HTML snippet
```html
<ul class="usa-nav__primary usa-accordion" role="navigation">
```

### Description
ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 2 of 6846 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint.
2. Locate the element: .usa-nav__primary
3. Confirm the axe-core finding for rule aria-allowed-role.

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

### Affected pages
- https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint
- https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.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:** Remove or change the ARIA role — it isn't allowed on this element type.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI

### Example pages
- https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MMS-Blueprint
- https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN6447308-ICD-10-CM/icd10cm/story.html

---

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

**Bug ID:** `VS-35890150`  
**Pattern ID:** `VS-7118fead`  
**URL:** http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009  
**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:** 804 instances; 804 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 804 of 6846 scanned pages (804 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009.
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
- http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81
- http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10281demo
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7
- https://www.cms.gov/outreach-and-education/outreach/partnerships/publications-partners/3-tips-help-someone-who-lost-medicaid-or-chip-coverage
- https://www.cms.gov/data-research/statistics-trends-and-reports/medicare-fee-for-service-parts-a-b
- http://cms.gov/newsroom/press-releases/new-medicare-part-d-opioid-drug-mapping-tool-available
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40289&lcdStatus=all&sortBy=title&ver=6
- http://www.cms.gov/about-cms/information-systems/privacy/privacy-impact-assessment-pia
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72
- https://cms.gov/medicare/regulations-guidance/physician-self-referral/specialty-hospital-advisory-opinions
- https://www.cms.gov/medicare/forms-notices/cms-forms-list
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42
- https://cms.gov/medicare/fraud-and-abuse/physicianselfreferral/specialty-hospital-advisory-opinions-items/cms1234002
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&stateRegion=all&ver=29
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34084&lcdStatus=all&sortBy=title&stateRegion=all&ver=23
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=42
- https://www.cms.gov/glossary?items_per_page=10&order=body&page=23&sort=asc&term=&viewmode=grid
- https://cms.gov/medicare/regulations-guidance/transmittals/2024-transmittals?items_per_page=25&order=field_dyna_issue_date&page=12&sort=desc
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2016-transmittals-items/r1633otn
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52459&ver=23
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=23

…and more — 804 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
- http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81
- http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10281demo

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-d8e88713`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81  
**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:** 367 instances; 366 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 366 of 6846 scanned pages (367 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81.
2. Locate the element: <h3 id="h3DocumentInformationHeader" class="document-view-section-header">
3. Confirm the Siteimprove Alfa finding for rule sia-r53.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33578&lcdStatus=all&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40289&lcdStatus=all&sortBy=title&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35172&ver=72
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37299&lcdStatus=all&sortBy=title&stateRegion=all&ver=29
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38988&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34084&lcdStatus=all&sortBy=title&stateRegion=all&ver=23
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=42
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52459&ver=23
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36155&lcdStatus=all&sortBy=title&ver=23
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36941&lcdStatus=all&sortBy=title&ver=22
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34415&lcdStatus=all&sortBy=title&stateRegion=all&ver=58
- https://www.cms.gov/initiatives/medicare-prescription-drug-affordability/overview/medicare-drug-price-negotiation-program/pharmacy-dispensing-entity-resources
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33686&lcdStatus=all&sortBy=title&stateRegion=all&ver=43
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37356&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39799&lcdStatus=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55536&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39642&lcdStatus=all&sortBy=title&ver=11
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56329&articleStatus=all&bc=3&sortBy=title&ver=4
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=54612&ver=4
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57811&articleStatus=all&bc=3&sortBy=title&ver=2
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38769&lcdStatus=all&sortBy=title

…and more — 366 pages total ([download CSV](csv/alfa__sia-r53.csv)).

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

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35007&lcdStatus=all&sortBy=title&ver=81
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7

---

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

**Bug ID:** `VS-492b05b2`  
**Pattern ID:** `VS-c18be945`  
**URL:** http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009  
**XPath / selector:** `text: "Feedback"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 298 instances; 297 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 297 of 6846 scanned pages (298 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009.
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
- http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009
- http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10281demo
- https://www.cms.gov/outreach-and-education/outreach/partnerships/publications-partners/3-tips-help-someone-who-lost-medicaid-or-chip-coverage
- https://www.cms.gov/data-research/statistics-trends-and-reports/medicare-fee-for-service-parts-a-b
- https://cms.gov/medicare/regulations-guidance/physician-self-referral/specialty-hospital-advisory-opinions
- https://www.cms.gov/medicare/forms-notices/cms-forms-list
- https://cms.gov/medicare/fraud-and-abuse/physicianselfreferral/specialty-hospital-advisory-opinions-items/cms1234002
- https://www.cms.gov/glossary?items_per_page=10&order=body&page=23&sort=asc&term=&viewmode=grid
- https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/pfs-carrier-specific-files-items/cy2019-carrierfiles
- https://www.cms.gov/medicare/coverage/determination-process/local
- https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/historical
- https://www.cms.gov/about-cms/who-we-are/leadership/office-hearings-inquiries
- https://www.cms.gov/initiatives/medicare-prescription-drug-affordability/overview/medicare-drug-price-negotiation-program/pharmacy-dispensing-entity-resources
- https://www.cms.gov/contacts/aegis-treatment-centers-llc/general-beneficiary-contact/1554471
- http://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&sort=desc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=8&sort=asc
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2016-transmittals-items/r3443cp
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2016-transmittals-items/r1607otn
- https://www.cms.gov/cms-l564-request-employment-information
- https://cms.gov/regulations-and-guidanceguidancetransmittals2020-transmittals/r10015cp
- https://www.cms.gov/about-cms/who-we-are/leadership/office-human-capital
- http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10474cp
- https://cms.gov/newsroom/press-releases/new-report-improvements-medicare-are-lowering-costs-improving-care
- http://cms.gov/medicare/coordination-benefits-recovery/overview/whats-new
- https://cms.gov/medicare/regulations-guidance/transmittals/2013-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=10&sort=asc

…and more — 297 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
- http://www.cms.gov/medicare/regulations-guidance/legislation/economic-recovery-act-2009
- http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10281demo
- https://www.cms.gov/outreach-and-education/outreach/partnerships/publications-partners/3-tips-help-someone-who-lost-medicaid-or-chip-coverage

---

## Table header has scope (WCAG criterion undetermined)

**Bug ID:** `VS-a7e9d000`  
**Pattern ID:** `VS-2cd767ca`  
**URL:** https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html  
**XPath / selector:** `<h1>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r78` ([reference](https://alfa.siteimprove.com/rules/sia-r78))  
**Severity:** Moderate  
**Frequency:** 208 instances; 149 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 149 of 6846 scanned pages (208 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html.
2. Locate the element: <h1>
3. Confirm the Siteimprove Alfa finding for rule sia-r78.

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

### Affected pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=42
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37356&lcdStatus=all&sortBy=title
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0134.html
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38769&lcdStatus=all&sortBy=title
- https://www.cms.gov/cms-l564-request-employment-information
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57649&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=9
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59521&articleStatus=all&bc=3&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?areaId=all&articleid=56615&bc=1&contractOption=all&docType=6%2C1&keyword=cataract+extraction&keywordType=all&sortBy=relevance&ver=26
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=34008&lcdStatus=all&sortBy=title
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0004.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59868&articleStatus=all&bc=3&sortBy=title&ver=7
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57837
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56034&ver=39
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57663&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0016.html
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57873&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=31
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59714&ver=8
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53252&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=236
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57804&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=41
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=33813&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60276&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=3

…and more — 149 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
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0320.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59807&ver=7
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56658&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42

---

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

**Bug ID:** `VS-7fc8d4e2`  
**Pattern ID:** `VS-04a9d28c`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52521&ver=55  
**XPath / selector:** `table`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `presentational-attr`  
**Severity:** Moderate  
**Frequency:** 1189 instances; 34 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### HTML snippet
```html
<table style="width: 515.583px;" border="1" cellspacing="3" cellpadding="0">
<tbody>
<tr>
<td style="width: 81px; background: gray none repeat scroll 0% 0%; padding: 0.75pt;">
<p style="line-height: n
```

### Description
Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 34 of 6846 scanned pages (1189 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52521&ver=55.
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/medicare-coverage-database/view/article.aspx?articleId=52521&ver=55
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34859&ver=34
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0001.html
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39684&lcdStatus=all&sortBy=title&ver=7
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36947&lcdStatus=all&sortBy=title&ver=21
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0098.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0161.html
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34823&lcdStatus=all&sortBy=title&ver=27
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0255.html
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37054&lcdStatus=all&sortBy=title&stateRegion=all&ver=21
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0008.html
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33445&lcdStatus=all&sortBy=title&stateRegion=all&ver=71
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0031.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1180.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37608&lcdStatus=all&sortBy=title&ver=21
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38051&lcdStatus=all&sortBy=title&ver=17
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=21&doctype=all&ncaid=313&proposed=N&sortBy=updated&timeframe=30
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58318&ver=60
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=176&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35000&lcdStatus=all&sortBy=title&ver=155
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0949.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37199&lcdStatus=all&sortBy=title&stateRegion=all&ver=14
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1364.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39529&ver=5

…and more — 34 pages total ([download CSV](csv/deprecated-html__presentational-attr.csv)).

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52521&ver=55
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34859&ver=34
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0526.html

---

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

**Bug ID:** `VS-0fbdc6b2`  
**Pattern ID:** `VS-7fbb8b20`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0161.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:** 5 instances; 5 of 6846 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W32 (7 weeks)

### Description
Element with orientation is not locked. Detected by Siteimprove Alfa rule sia-r59 on 5 of 6846 scanned pages (5 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0161.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/P0161.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0280.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0365.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0323.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1463.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/P0161.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0280.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0365.html

---

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

**Bug ID:** `VS-284cf53e`  
**Pattern ID:** `VS-e43903a1`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0161.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:** 10 instances; 5 of 6846 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W32 (7 weeks)

### Description
Form field error is identified and described. Detected by Siteimprove Alfa rule sia-r75 on 5 of 6846 scanned pages (10 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0161.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/P0161.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0280.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0365.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0323.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1463.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/P0161.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0280.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0365.html

---

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

**Bug ID:** `VS-c94ef289`  
**Pattern ID:** `VS-4c341c77`  
**URL:** https://www.cms.gov/medicare-coverage-database/details/nca-view-public-comments.aspx?NCAId=289  
**XPath / selector:** `<p>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r85` ([reference](https://alfa.siteimprove.com/rules/sia-r85))  
**Severity:** Moderate  
**Frequency:** 3 instances; 2 of 6846 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W32 (8 weeks)

### Description
Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 2 of 6846 scanned pages (3 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/details/nca-view-public-comments.aspx?NCAId=289.
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://www.cms.gov/medicare-coverage-database/details/nca-view-public-comments.aspx?NCAId=289
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=289&proposed=N&sortBy=status&status=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-r85

### Example pages
- https://www.cms.gov/medicare-coverage-database/details/nca-view-public-comments.aspx?NCAId=289
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=289&proposed=N&sortBy=status&status=all

---

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

**Bug ID:** `VS-1a51b137`  
**Pattern ID:** `VS-3d033717`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=315&proposed=Y  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r70` ([reference](https://alfa.siteimprove.com/rules/sia-r70))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 6846 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W32 (8 weeks)

### Description
No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 2 of 6846 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=315&proposed=Y.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r70.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=315&proposed=Y
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33942&lcdStatus=all&sortBy=title&ver=50

### 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://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=315&proposed=Y
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33942&lcdStatus=all&sortBy=title&ver=50

---

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

**Bug ID:** `VS-c07ebda2`  
**Pattern ID:** `VS-f2542d87`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=289&proposed=N&sortBy=status&status=all  
**XPath / selector:** `<pre>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r79` ([reference](https://alfa.siteimprove.com/rules/sia-r79))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (9 weeks)

### Description
Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 1 of 6846 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=289&proposed=N&sortBy=status&status=all.
2. Locate the element: <pre>
3. Confirm the Siteimprove Alfa finding for rule sia-r79.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=289&proposed=N&sortBy=status&status=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-r79

---

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

**Bug ID:** `VS-66105998`  
**Pattern ID:** `VS-20060f39`  
**URL:** https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33942&lcdStatus=all&sortBy=title&ver=50  
**XPath / selector:** `center`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `center-element`  
**Severity:** Moderate  
**Frequency:** 4 instances; 1 of 6846 pages affected
  
**History:** first seen 2026-W28, last seen 2026-W32 (2 weeks)

### HTML snippet
```html
<center><strong> GENERAL THERAPY GUIDELINES</strong></center>
```

### Description
Obsolete <center> element (use CSS). Detected by deprecated-html rule center-element on 1 of 6846 scanned pages (4 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33942&lcdStatus=all&sortBy=title&ver=50.
2. Locate the element: center
3. Confirm the deprecated-html finding for rule center-element.

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

### Affected pages
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33942&lcdStatus=all&sortBy=title&ver=50

### 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.

---

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

**Bug ID:** `VS-987e1817`  
**Pattern ID:** `VS-91d2294a`  
**URL:** https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=N&sortBy=status&status=all  
**XPath / selector:** `font`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `font-element`  
**Severity:** Moderate  
**Frequency:** 4 instances; 1 of 6846 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W32 (8 weeks)

### HTML snippet
```html
<font color="FF0000"><p><em>Effective XXXX, the Centers for Medicare &amp; Medicaid Services (CMS) covers percutaneous transluminal angioplasty (PTA) of the carotid artery concurrent with stenting wit
```

### Description
Obsolete <font> element (use CSS). Detected by deprecated-html rule font-element on 1 of 6846 scanned pages (4 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=N&sortBy=status&status=all.
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://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=N&sortBy=status&status=all

### 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.