# Accessibility bug reports — www.cms.gov, week 2026-W34

53 issue type(s) from 5906 pages scanned. Generated 2026-08-23 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-6beff459`  
**Pattern ID:** `VS-179ad9b3`  
**URL:** http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.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:** 396 instances; 156 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

### Description
Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 156 of 5906 scanned pages (396 instances).

### Steps to reproduce
1. Open http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.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
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=CAAAAAAAAAAA&ncdid=177&ncdver=5
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58734&articleStatus=all&bc=3&sortBy=title&ver=20
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53127&bc=12&contractorName=all&dateOption=current&sortBy=code&ver=193
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57526&articleStatus=all&bc=3&sortBy=title&ver=84
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0376.html
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56850&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=32
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60353&ver=4
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56686&articleStatus=all&bc=3&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34548&ver=43
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59849&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=8
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0093.html
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58761&articleStatus=all&bc=3&sortBy=title&ver=68
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0962.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34082&ver=30
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58647&ver=3
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57484&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=22
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59192&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0141.html
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59769&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=5
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39713&ver=3
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1869.html
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57290&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58438&articleStatus=all&bc=3&sortBy=title&ver=10

…and more — 156 pages total ([download CSV](csv/alfa__sia-r113.csv)).

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

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

### Example pages
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=CAAAAAAAAAAA&ncdid=177&ncdver=5
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58734&articleStatus=all&bc=3&sortBy=title&ver=20

---

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

**Bug ID:** `VS-68f9e5ee`  
**Pattern ID:** `VS-f7dba940`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37  
**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:** 1114 instances; 426 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

### Description
Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 426 of 5906 scanned pages (1114 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37.
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
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53049&ver=99
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39688&lcdStatus=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57307&ver=38
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36665&lcdStatus=all&sortBy=title&stateRegion=all&ver=19
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33695&lcdStatus=all&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33784&lcdStatus=all&sortBy=title&ver=19
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39027&lcdStatus=all&sortBy=title&stateRegion=all&ver=8
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60438&articleStatus=all&bc=3&sortBy=title&ver=5
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33833&lcdStatus=all&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=CAAAAAAAAAAA&ncdid=177&ncdver=5
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39256&lcdStatus=all&sortBy=title&ver=7
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58734&articleStatus=all&bc=3&sortBy=title&ver=20
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53127&bc=12&contractorName=all&dateOption=current&sortBy=code&ver=193
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33576&lcdStatus=all&sortBy=title&ver=24
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54841&articleStatus=all&bc=3&sortBy=title&ver=2
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33959&lcdStatus=all&sortBy=title&stateRegion=all&ver=36
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55936&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37893&lcdStatus=all&sortBy=title&stateRegion=all&ver=30
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40183&proposedStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=218
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59854&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare-coverage-database/details/nca-details.aspx?NCAId=206
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=128&ncdver=3
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57526&articleStatus=all&bc=3&sortBy=title&ver=84

…and more — 426 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
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53049&ver=99
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39688&lcdStatus=all&sortBy=title&stateRegion=all&ver=4

---

## Images must have alternative text (WCAG 1.1.1)

**Bug ID:** `VS-fdf53f11`  
**Pattern ID:** `VS-9074b4dd`  
**URL:** http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.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:** 128 instances; 128 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (10 weeks)

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

### Description
Images must have alternative text. Detected by axe-core rule image-alt on 128 of 5906 scanned pages (128 instances).

### Steps to reproduce
1. Open http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.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
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0175.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0480.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0594.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0201.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0035.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0376.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0205.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0093.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0447.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0193.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0636.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0013.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0962.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0110.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0026.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0141.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0214.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1869.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0023.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0035.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0082.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0269.html

…and more — 128 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
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0175.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html

---

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

**Bug ID:** `VS-1fd64f89`  
**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=33632&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 5906 pages affected
  
**History:** first seen 2026-W27, last seen 2026-W34 (4 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 5906 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=33632&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=33632&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-8399a15c`  
**Pattern ID:** `VS-a24eaa8c`  
**URL:** http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.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:** 34 instances; 34 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (10 weeks)

### Description
Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 34 of 5906 scanned pages (34 instances).

### Steps to reproduce
1. Open http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.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
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0376.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0093.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0962.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0141.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1869.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0082.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0042.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0151.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0399.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1694.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0012.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0337.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1977.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0385.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0807.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0312.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0068.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1800.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0096.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1984.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0091.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0029.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0341.html

…and more — 34 pages total ([download CSV](csv/alfa__sia-r2.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:** 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
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0376.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0010.html

---

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

**Bug ID:** `VS-d5034356`  
**Pattern ID:** `VS-a0bdbdf6`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37  
**XPath / selector:** `#lblCmsNationalCoveragePolicy > ul:nth-child(3)`  
**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:** 1622 instances; 355 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 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 355 of 5906 scanned pages (1622 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37.
2. Locate the element: #lblCmsNationalCoveragePolicy > ul:nth-child(3)
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
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56681&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=34
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34892&ver=123
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39027&lcdStatus=all&sortBy=title&stateRegion=all&ver=8
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=CAAAAAAAAAAA&ncdid=177&ncdver=5
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57039&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=8
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33621&ver=16
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33576&lcdStatus=all&sortBy=title&ver=24
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33959&lcdStatus=all&sortBy=title&stateRegion=all&ver=36
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40376&proposedStatus=all&sortBy=title&stateRegion=all&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33922&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58456&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=36
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39314&lcdStatus=all&sortBy=title&stateRegion=all&ver=7
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34074&lcdStatus=all&sortBy=title&stateRegion=all&ver=39
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38974&lcdStatus=all&sortBy=title&ver=9
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57526&articleStatus=all&bc=3&sortBy=title&ver=84
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57904&articleStatus=all&bc=3&sortBy=title&ver=5
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36767&lcdStatus=all&sortBy=title&ver=27
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52399&ver=57
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52399&ver=71
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52504&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=55
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53066&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=92
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35089&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57846&ver=4
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33633&lcdStatus=all&sortBy=title&ver=50

…and more — 355 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
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56681&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=34
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34892&ver=123

---

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

**Bug ID:** `VS-c315d609`  
**Pattern ID:** `VS-6175596b`  
**URL:** https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=289&proposed=Y  
**XPath / selector:** `div:nth-child(371) > li:nth-child(4)`  
**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:** 65 instances; 9 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

### HTML snippet
```html
<li>MRA is used to evaluate the carotid arteries, the circle of Willis, the anterior, middle or posterior cerebral arteries, the vertebral or basilar arteries or the venous sinuses;</li>
```

### Description
<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 9 of 5906 scanned pages (65 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=289&proposed=Y.
2. Locate the element: div:nth-child(371) > li:nth-child(4)
3. Confirm the axe-core finding for rule listitem against WCAG 1.3.1 Info and Relationships.

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

### Affected pages
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=289&proposed=Y
- https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?NCAId=289
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=21&doctype=all&ncaid=313&proposed=N&sortBy=updated&timeframe=30
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=78&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=274&proposed=N
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=378&ncdver=1&sortBy=title
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=244
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=NCA&ncaid=293&proposed=N&sortBy=status&status=Open+for+Public+Comment
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=309&proposed=Y&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
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=289&proposed=Y
- https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?NCAId=289
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=21&doctype=all&ncaid=313&proposed=N&sortBy=updated&timeframe=30

---

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

**Bug ID:** `VS-21eb1a2a`  
**Pattern ID:** `VS-07ba3b17`  
**URL:** https://cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_release_date&page=9&sort=desc  
**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:** 1 instances; 1 of 5906 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W34 (10 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 1 of 5906 scanned pages (1 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_release_date&page=9&sort=desc.
2. Locate the element: .MsoTableGrid
3. Confirm the axe-core finding for rule td-headers-attr against WCAG 1.3.1 Info and Relationships.

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

### Affected pages
- https://cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_release_date&page=9&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

---

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

**Bug ID:** `VS-d4351dce`  
**Pattern ID:** `VS-d6097011`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33576&lcdStatus=all&sortBy=title&ver=24  
**XPath / selector:** `<ul>`  
**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:** 342 instances; 119 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

### Description
Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 119 of 5906 scanned pages (342 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33576&lcdStatus=all&sortBy=title&ver=24.
2. Locate the element: <ul>
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=7&contractorName=all&contractorNumber=all&lcdid=33576&lcdStatus=all&sortBy=title&ver=24
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33959&lcdStatus=all&sortBy=title&stateRegion=all&ver=36
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40183&proposedStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=218
- https://www.cms.gov/medicare-coverage-database/details/nca-details.aspx?NCAId=206
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0376.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0093.html
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=33967&lcdStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34337&lcdStatus=all&sortBy=title&stateRegion=all&ver=22
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=34869&lcdStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=33467&lcdStatus=all&sortBy=title
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0141.html
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=33619&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-state-report.aspx?contractorNumber=all&lcdid=40141&proposedStatus=all&sortBy=title&stateRegion=all
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34233&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38647&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39071&lcdStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=33831&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34056&lcdStatus=all&sortBy=title&stateRegion=all&ver=27
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34314&lcdStatus=all&sortBy=title&stateRegion=all&ver=47
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52370&articleStatus=all&bc=3&sortBy=title&ver=130
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33394&lcdStatus=all&sortBy=title&stateRegion=all&ver=54
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37899&lcdStatus=all&sortBy=title&stateRegion=all
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0042.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33646&lcdStatus=all&sortBy=title&stateRegion=all&ver=40

…and more — 119 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=7&contractorName=all&contractorNumber=all&lcdid=33576&lcdStatus=all&sortBy=title&ver=24
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33959&lcdStatus=all&sortBy=title&stateRegion=all&ver=36
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40183&proposedStatus=all&sortBy=title

---

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

**Bug ID:** `VS-24c67aa4`  
**Pattern ID:** `VS-4408605e`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53049&ver=99  
**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:** 92 instances; 54 of 5906 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W34 (10 weeks)

### Description
Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 54 of 5906 scanned pages (92 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53049&ver=99.
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=53049&ver=99
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57307&ver=38
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53127&bc=12&contractorName=all&dateOption=current&sortBy=code&ver=193
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56850&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=32
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57484&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=22
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59192&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58438&articleStatus=all&bc=3&sortBy=title&ver=10
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57194&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=36
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58133&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=23
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56938&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=46
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56440&articleStatus=all&bc=3&sortBy=title&ver=44
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58364&articleStatus=all&bc=3&sortBy=title&ver=36
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56459&articleStatus=all&bc=3&sortBy=title&ver=28
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57611&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56811&ver=12
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57622&ver=17
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55597&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=24
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56615&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=26
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56988&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56467&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=12
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58362&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58812&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=76
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57672&articleStatus=all&bc=3&sortBy=title&ver=6
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57540&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56594&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14

…and more — 54 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=53049&ver=99
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57307&ver=38
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53127&bc=12&contractorName=all&dateOption=current&sortBy=code&ver=193

---

## Element has required owned roles (WCAG 1.3.1)

**Bug ID:** `VS-f50347d0`  
**Pattern ID:** `VS-3c632d31`  
**URL:** http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.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:** 35 instances; 35 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

### Description
Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 35 of 5906 scanned pages (35 instances).

### Steps to reproduce
1. Open http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.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
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0376.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0093.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0962.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0141.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1869.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0082.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0042.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0151.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0399.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1694.html
- https://www.cms.gov/initiatives/burden-reduction/overview/interoperability/implementation-guides-standards/standards-igs-index-resources
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0012.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0337.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1977.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0385.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0807.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0312.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0068.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1800.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0096.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1984.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0091.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0029.html

…and more — 35 pages total ([download CSV](csv/alfa__sia-r64.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-r64

### Example pages
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0376.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0010.html

---

## Table cell has header (WCAG 1.3.1)

**Bug ID:** `VS-90676a8b`  
**Pattern ID:** `VS-3f067795`  
**URL:** https://www.cms.gov/medicare-coverage-database/details/medcac-meeting-details.aspx?bc=AgAAAQAAEAoA&DocType=NCA%7CCAL&fromdb=true&MEDCACId=44&NCAId=218&NcaName=Positron+Emission+Tomography+%28FDG%29+for+Solid+Tumors&ver=15&year=2009  
**XPath / selector:** `<td valign="top" scope="row">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r77` ([reference](https://alfa.siteimprove.com/rules/sia-r77))  
**Severity:** Moderate  
**Frequency:** 159 instances; 5 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

### Description
Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 5 of 5906 scanned pages (159 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/details/medcac-meeting-details.aspx?bc=AgAAAQAAEAoA&DocType=NCA%7CCAL&fromdb=true&MEDCACId=44&NCAId=218&NcaName=Positron+Emission+Tomography+%28FDG%29+for+Solid+Tumors&ver=15&year=2009.
2. Locate the element: <td valign="top" scope="row">
3. Confirm the Siteimprove Alfa finding for rule sia-r77 against WCAG 1.3.1 Info and Relationships.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/details/medcac-meeting-details.aspx?bc=AgAAAQAAEAoA&DocType=NCA%7CCAL&fromdb=true&MEDCACId=44&NCAId=218&NcaName=Positron+Emission+Tomography+%28FDG%29+for+Solid+Tumors&ver=15&year=2009
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=190&ncdver=4
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55659&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=16
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=309&proposed=Y&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-r77

### Example pages
- https://www.cms.gov/medicare-coverage-database/details/medcac-meeting-details.aspx?bc=AgAAAQAAEAoA&DocType=NCA%7CCAL&fromdb=true&MEDCACId=44&NCAId=218&NcaName=Positron+Emission+Tomography+%28FDG%29+for+Solid+Tumors&ver=15&year=2009
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=190&ncdver=4
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55659&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2

---

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

**Bug ID:** `VS-0ab70e29`  
**Pattern ID:** `VS-8ade3360`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37  
**XPath / selector:** `#lblProposedLcd > .system-link.log-click[target="_blank"]`  
**WCAG SC:** 1.4.1 — Use of Color (Level A)  
**Rule:** axe-core — `link-in-text-block` ([reference](https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1304 instances; 533 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

### HTML snippet
```html
<a href="https://localcoverage.cms.gov/mcd_archive/view/lcd.aspx?lcdInfo=37159:11" target="_blank" class="log-click system-link" data-page-action="Clicked the Source Proposed LCD link">DL33751</a>
```

### Description
Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 533 of 5906 scanned pages (1304 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37.
2. Locate the element: #lblProposedLcd > .system-link.log-click[target="_blank"]
3. Confirm the axe-core finding for rule link-in-text-block against WCAG 1.4.1 Use of Color.

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

### Affected pages
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36690&lcdStatus=all&sortBy=title&stateRegion=all&ver=34
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39688&lcdStatus=all&sortBy=title&stateRegion=all&ver=4
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39797&lcdStatus=all&sortBy=title&stateRegion=all&ver=13
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36815&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34892&ver=123
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39042&lcdStatus=all&sortBy=title&stateRegion=all&ver=7
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36665&lcdStatus=all&sortBy=title&stateRegion=all&ver=19
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38278&lcdStatus=all&sortBy=title&ver=21
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=37062&ver=22
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39027&lcdStatus=all&sortBy=title&stateRegion=all&ver=8
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33833&lcdStatus=all&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=CAAAAAAAAAAA&ncdid=177&ncdver=5
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39256&lcdStatus=all&sortBy=title&ver=7
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=22&NCDver=2
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40314&proposedStatus=all&sortBy=title&stateRegion=all&ver=11
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38151&lcdStatus=all&sortBy=title&ver=8
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40376&proposedStatus=all&sortBy=title&stateRegion=all&ver=6
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37893&lcdStatus=all&sortBy=title&stateRegion=all&ver=30
- https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=218
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39314&lcdStatus=all&sortBy=title&stateRegion=all&ver=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39709&lcdStatus=all&sortBy=title&stateRegion=all&ver=3
- https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=288
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60323&ver=3
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38974&lcdStatus=all&sortBy=title&ver=9

…and more — 533 pages total ([download CSV](csv/axe-core__link-in-text-block.csv)).

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

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

### Example pages
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36690&lcdStatus=all&sortBy=title&stateRegion=all&ver=34
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39688&lcdStatus=all&sortBy=title&stateRegion=all&ver=4

---

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

**Bug ID:** `VS-d63e3897`  
**Pattern ID:** `VS-efd91fdd`  
**URL:** http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57917&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=29  
**XPath / selector:** `<a href="#" data-bs-toggle="modal" data-bs-target="#MCDNoticeBoadModal" id="aBoardItemLink_33">`  
**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:** 6 instances; 3 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (10 weeks)

### Description
Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 3 of 5906 scanned pages (6 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57917&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=29.
2. Locate the element: <a href="#" data-bs-toggle="modal" data-bs-target="#MCDNoticeBoadModal" id="aBoardItemLink_33">
3. Confirm the Siteimprove Alfa finding for rule sia-r62 against WCAG 1.4.1 Use of Color.

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

### Affected pages
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57917&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=29
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36707&lcdStatus=all&sortBy=title&ver=39
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36707&lcdStatus=all&sortBy=title&ver=39

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

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

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

### Example pages
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57917&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=29
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36707&lcdStatus=all&sortBy=title&ver=39
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36707&lcdStatus=all&sortBy=title&ver=39

---

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

**Bug ID:** `VS-000343db`  
**Pattern ID:** `VS-c613c153`  
**URL:** https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=216&proposed=Y  
**XPath / selector:** `pre`  
**WCAG SC:** 2.1.1 — Keyboard (Level A)  
**Rule:** axe-core — `scrollable-region-focusable` ([reference](https://dequeuniversity.com/rules/axe/4.12/scrollable-region-focusable?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 2 instances; 2 of 5906 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W34 (7 weeks)

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

### Description
Scrollable region must have keyboard access. Detected by axe-core rule scrollable-region-focusable on 2 of 5906 scanned pages (2 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=216&proposed=Y.
2. Locate the element: pre
3. Confirm the axe-core finding for rule scrollable-region-focusable against WCAG 2.1.1 Keyboard.

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

### Affected pages
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=216&proposed=Y
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=311&proposed=Y

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

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

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

### Example pages
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=216&proposed=Y
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=311&proposed=Y

---

## Links must have discernible text (WCAG 2.4.4)

**Bug ID:** `VS-531530b7`  
**Pattern ID:** `VS-e9fe47ac`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=NCA&ncaid=321&proposed=Y&sortBy=status&status=Open+for+Public+Comment  
**XPath / selector:** `li:nth-child(5) > a[href="#4"]`  
**WCAG SC:** 2.4.4 — Link Purpose (In Context) (Level A)  
**Rule:** axe-core — `link-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 4 instances; 3 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

### HTML snippet
```html
<a href="#4">	</a>
```

### Description
Links must have discernible text. Detected by axe-core rule link-name on 3 of 5906 scanned pages (4 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=NCA&ncaid=321&proposed=Y&sortBy=status&status=Open+for+Public+Comment.
2. Locate the element: li:nth-child(5) > a[href="#4"]
3. Confirm the axe-core finding for rule link-name against WCAG 2.4.4 Link Purpose (In Context).

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=NCA&ncaid=321&proposed=Y&sortBy=status&status=Open+for+Public+Comment
- https://www.cms.gov/medicare/medicaid-coordination/about/resources-integrated-care
- https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments

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

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=NCA&ncaid=321&proposed=Y&sortBy=status&status=Open+for+Public+Comment
- https://www.cms.gov/medicare/medicaid-coordination/about/resources-integrated-care
- https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments

---

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

**Bug ID:** `VS-27193a5a`  
**Pattern ID:** `VS-c126b6a6`  
**URL:** http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.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:** 145 instances; 145 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

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

### Description
<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 145 of 5906 scanned pages (145 instances).

### Steps to reproduce
1. Open http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.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
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0175.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0480.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0594.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0201.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0035.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0376.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0205.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0093.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0447.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0193.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0636.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0013.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0962.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0110.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0026.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0141.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0214.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1869.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0023.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0035.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1156.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0082.html

…and more — 145 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
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0175.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html

---

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

**Bug ID:** `VS-7bd09a4c`  
**Pattern ID:** `VS-7a0e5645`  
**URL:** http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.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:** 38 instances; 38 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

### Description
Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 38 of 5906 scanned pages (38 instances).

### Steps to reproduce
1. Open http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.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
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0376.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0093.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0962.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0141.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1869.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0082.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0042.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0151.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0399.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1694.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0012.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0337.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1977.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0385.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0807.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0312.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0068.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1800.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0096.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1984.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0091.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0294.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0029.html

…and more — 38 pages total ([download CSV](csv/alfa__sia-r4.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:** Add a valid lang attribute to <html>.

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

### Example pages
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0376.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0010.html

---

## Form elements must have labels (WCAG 4.1.2)

**Bug ID:** `VS-118d5bd0`  
**Pattern ID:** `VS-fafffee0`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1156.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:** 18 instances; 18 of 5906 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W34 (9 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 18 of 5906 scanned pages (18 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1156.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/P1156.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0578.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0499.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1174.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0772.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1485.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0589.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0294.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1181.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1816.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0339.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0022.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0233.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0035.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1742.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0504.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0919.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1155.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/P1156.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0578.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0499.html

---

## ARIA hidden element must not be focusable or contain focusable elements (WCAG 4.1.2)

**Bug ID:** `VS-7836015d`  
**Pattern ID:** `VS-45146742`  
**URL:** http://www.cms.gov/newsroom/fact-sheets/market-saturation-utilization-data-tool-0  
**XPath / selector:** `#link-list-block-cms-evo-cmshhswebsitescmsglobalfooter-menu`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-hidden-focus` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-hidden-focus?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 5 instances; 1 of 5906 pages affected
  
**History:** first seen 2026-W34, last seen 2026-W34 (1 week)

### HTML snippet
```html
<div id="link-list-block-cms-evo-cmshhswebsitescmsglobalfooter-menu" aria-hidden="true" class="cms--link-list__links">
```

### Description
ARIA hidden element must not be focusable or contain focusable elements. Detected by axe-core rule aria-hidden-focus on 1 of 5906 scanned pages (5 instances).

### Steps to reproduce
1. Open http://www.cms.gov/newsroom/fact-sheets/market-saturation-utilization-data-tool-0.
2. Locate the element: #link-list-block-cms-evo-cmshhswebsitescmsglobalfooter-menu
3. Confirm the axe-core finding for rule aria-hidden-focus 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/newsroom/fact-sheets/market-saturation-utilization-data-tool-0

### 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 put focusable elements inside aria-hidden="true"; they become a keyboard trap for screen-reader users.

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

---

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

**Bug ID:** `VS-e9465693`  
**Pattern ID:** `VS-be8d563e`  
**URL:** https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36665&lcdStatus=all&sortBy=title&stateRegion=all&ver=19  
**XPath / selector:** `tr:nth-child(3) > td:nth-child(1) > strong`  
**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:** 423 instances; 31 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

### HTML snippet
```html
<strong>Clinicopathologic Findings</strong>
```

### Description
Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 31 of 5906 scanned pages (423 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36665&lcdStatus=all&sortBy=title&stateRegion=all&ver=19.
2. Locate the element: tr:nth-child(3) > td:nth-child(1) > strong
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://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36665&lcdStatus=all&sortBy=title&stateRegion=all&ver=19
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=9&lcdid=33318&proposedStatus=all&sortBy=title&ver=63
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33624&lcdStatus=all&sortBy=title&stateRegion=all&ver=34
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33828&lcdStatus=all&sortBy=title&stateRegion=all&ver=27
- http://www.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?lcdId=37870&ver=19
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36704&lcdStatus=all&sortBy=title&ver=23
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52503&articleStatus=all&bc=3&sortBy=title&ver=23
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52503&ver=26
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52521&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=55
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33611&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=190&ncdver=4
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=39936&proposedStatus=all&sortBy=title&stateRegion=all&ver=14
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37897&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36704&lcdStatus=all&sortBy=title&stateRegion=all&ver=20
- https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?NCAId=297
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=37921&ver=16
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52521&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=51
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&ncaid=293&proposed=Y&sortBy=title&year=2026
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36665&lcdStatus=all&sortBy=title&ver=19
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=311&proposed=Y
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=378&ncdver=1&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33718&lcdStatus=all&sortBy=title&ver=52
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33832&lcdStatus=all&sortBy=title&stateRegion=all&ver=20

…and more — 31 pages total ([download CSV](csv/axe-core__color-contrast.csv)).

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

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

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

### Example pages
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36665&lcdStatus=all&sortBy=title&stateRegion=all&ver=19
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=9&lcdid=33318&proposedStatus=all&sortBy=title&ver=63

---

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

**Bug ID:** `VS-9bfeb24f`  
**Pattern ID:** `VS-f7e99f4b`  
**URL:** https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36665&lcdStatus=all&sortBy=title&stateRegion=all&ver=19  
**XPath / selector:** `text: "Clinicopathologic Findings"`  
**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:** 48 instances; 7 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

### Description
Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 7 of 5906 scanned pages (48 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36665&lcdStatus=all&sortBy=title&stateRegion=all&ver=19.
2. Locate the element: text: "Clinicopathologic Findings"
3. Confirm the Siteimprove Alfa finding for rule sia-r69 against WCAG 1.4.3 Contrast (Minimum).

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

### Affected pages
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36665&lcdStatus=all&sortBy=title&stateRegion=all&ver=19
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36704&lcdStatus=all&sortBy=title&ver=23
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36665&lcdStatus=all&sortBy=title&ver=19
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37899&lcdStatus=all&sortBy=title&stateRegion=all&ver=13
- https://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33393&lcdStatus=all&sortBy=title&stateRegion=all&ver=10

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

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

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

### Example pages
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36665&lcdStatus=all&sortBy=title&stateRegion=all&ver=19
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36704&lcdStatus=all&sortBy=title&ver=23

---

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

**Bug ID:** `VS-c6c09410`  
**Pattern ID:** `VS-dd1c019f`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&stateRegion=all&ver=14  
**XPath / selector:** `li:nth-child(1) > span[lang="X-NONE"]`  
**WCAG SC:** 3.1.2 — Language of Parts (Level AA)  
**Rule:** axe-core — `valid-lang` ([reference](https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 19 instances; 3 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

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

### Description
lang attribute must have a valid value. Detected by axe-core rule valid-lang on 3 of 5906 scanned pages (19 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&stateRegion=all&ver=14.
2. Locate the element: li:nth-child(1) > span[lang="X-NONE"]
3. Confirm the axe-core finding for rule valid-lang against WCAG 3.1.2 Language of Parts.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&stateRegion=all&ver=14
- https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&ver=14

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&stateRegion=all&ver=14
- https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&ver=14

---

## Element with lang attribute has correct language (WCAG 3.1.2)

**Bug ID:** `VS-e81dcc6b`  
**Pattern ID:** `VS-400f3a18`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&stateRegion=all&ver=14  
**XPath / selector:** `@lang="X-NONE"`  
**WCAG SC:** 3.1.2 — Language of Parts (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r7` ([reference](https://alfa.siteimprove.com/rules/sia-r7))  
**Severity:** Moderate  
**Frequency:** 18 instances; 2 of 5906 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W34 (4 weeks)

### Description
Element with lang attribute has correct language. Detected by Siteimprove Alfa rule sia-r7 on 2 of 5906 scanned pages (18 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&stateRegion=all&ver=14.
2. Locate the element: @lang="X-NONE"
3. Confirm the Siteimprove Alfa finding for rule sia-r7 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/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&stateRegion=all&ver=14
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&ver=14

### 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-r7

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&stateRegion=all&ver=14
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&ver=14

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-5588f076`  
**Pattern ID:** `VS-646b1e0b`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37  
**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; 426 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

### Description
Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 426 of 5906 scanned pages (2642 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37.
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
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53049&ver=99
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39688&lcdStatus=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57307&ver=38
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36665&lcdStatus=all&sortBy=title&stateRegion=all&ver=19
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33695&lcdStatus=all&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33784&lcdStatus=all&sortBy=title&ver=19
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39027&lcdStatus=all&sortBy=title&stateRegion=all&ver=8
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60438&articleStatus=all&bc=3&sortBy=title&ver=5
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33833&lcdStatus=all&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=CAAAAAAAAAAA&ncdid=177&ncdver=5
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39256&lcdStatus=all&sortBy=title&ver=7
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58734&articleStatus=all&bc=3&sortBy=title&ver=20
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53127&bc=12&contractorName=all&dateOption=current&sortBy=code&ver=193
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33576&lcdStatus=all&sortBy=title&ver=24
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54841&articleStatus=all&bc=3&sortBy=title&ver=2
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33959&lcdStatus=all&sortBy=title&stateRegion=all&ver=36
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55936&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37893&lcdStatus=all&sortBy=title&stateRegion=all&ver=30
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40183&proposedStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=218
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59854&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare-coverage-database/details/nca-details.aspx?NCAId=206
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=128&ncdver=3
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57526&articleStatus=all&bc=3&sortBy=title&ver=84

…and more — 426 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
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53049&ver=99
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39688&lcdStatus=all&sortBy=title&stateRegion=all&ver=4

---

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

**Bug ID:** `VS-2e78144b`  
**Pattern ID:** `VS-2208081b`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37  
**XPath / selector:** `<p class="usa-banner__header-text">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r73` ([reference](https://alfa.siteimprove.com/rules/sia-r73))  
**Severity:** Moderate  
**Frequency:** 11295 instances; 824 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

### Description
Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 824 of 5906 scanned pages (11295 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37.
2. Locate the element: <p class="usa-banner__header-text">
3. Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation.

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

### Affected pages
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2018-transmittals-items/r204ncd
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2014-transmittals-items/r1414otn
- http://cms.gov/marketplace/agents-brokers/shop-resources
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53049&ver=99
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39688&lcdStatus=all&sortBy=title&stateRegion=all&ver=4
- http://cms.gov/medicare/coding-billing/electronic-billing/how-to-enroll-medicare-electronic-data-interchange
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57307&ver=38
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2017-transmittals?items_per_page=25&order=field_dyna_pe_number&page=2&sort=desc
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36665&lcdStatus=all&sortBy=title&stateRegion=all&ver=19
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33695&lcdStatus=all&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33784&lcdStatus=all&sortBy=title&ver=19
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r11891pi
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39027&lcdStatus=all&sortBy=title&stateRegion=all&ver=8
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60438&articleStatus=all&bc=3&sortBy=title&ver=5
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33833&lcdStatus=all&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=CAAAAAAAAAAA&ncdid=177&ncdver=5
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39256&lcdStatus=all&sortBy=title&ver=7
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58734&articleStatus=all&bc=3&sortBy=title&ver=20
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2013-transmittals-items/r2775cp
- https://www.cms.gov/about-cms/what-we-do/emergency-response/how-can-we-help
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53127&bc=12&contractorName=all&dateOption=current&sortBy=code&ver=193
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12423cp
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33576&lcdStatus=all&sortBy=title&ver=24

…and more — 824 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-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2018-transmittals-items/r204ncd
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2014-transmittals-items/r1414otn

---

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

**Bug ID:** `VS-4d832ee3`  
**Pattern ID:** `VS-fbf54eba`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37  
**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:** 27962 instances; 427 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

### Description
Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 427 of 5906 scanned pages (27962 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37.
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
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53049&ver=99
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39688&lcdStatus=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57307&ver=38
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36665&lcdStatus=all&sortBy=title&stateRegion=all&ver=19
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33695&lcdStatus=all&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33784&lcdStatus=all&sortBy=title&ver=19
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39027&lcdStatus=all&sortBy=title&stateRegion=all&ver=8
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60438&articleStatus=all&bc=3&sortBy=title&ver=5
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33833&lcdStatus=all&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=CAAAAAAAAAAA&ncdid=177&ncdver=5
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39256&lcdStatus=all&sortBy=title&ver=7
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58734&articleStatus=all&bc=3&sortBy=title&ver=20
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53127&bc=12&contractorName=all&dateOption=current&sortBy=code&ver=193
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33576&lcdStatus=all&sortBy=title&ver=24
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54841&articleStatus=all&bc=3&sortBy=title&ver=2
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33959&lcdStatus=all&sortBy=title&stateRegion=all&ver=36
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55936&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37893&lcdStatus=all&sortBy=title&stateRegion=all&ver=30
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40183&proposedStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=218
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59854&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare-coverage-database/details/nca-details.aspx?NCAId=206
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=128&ncdver=3
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57526&articleStatus=all&bc=3&sortBy=title&ver=84

…and more — 427 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
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53049&ver=99
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39688&lcdStatus=all&sortBy=title&stateRegion=all&ver=4

---

## Scrollable element is keyboard accessible (WCAG 1.4.8)

**Bug ID:** `VS-8abe1017`  
**Pattern ID:** `VS-388b5438`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37761&lcdStatus=all&sortBy=title&ver=22  
**XPath / selector:** `<p style="background: white; line-height: 14.4pt;">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r80` ([reference](https://alfa.siteimprove.com/rules/sia-r80))  
**Severity:** Moderate  
**Frequency:** 319 instances; 29 of 5906 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W34 (10 weeks)

### Description
Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 29 of 5906 scanned pages (319 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37761&lcdStatus=all&sortBy=title&ver=22.
2. Locate the element: <p style="background: white; line-height: 14.4pt;">
3. Confirm the Siteimprove Alfa finding for rule sia-r80 against WCAG 1.4.8 Visual Presentation.

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

### Affected pages
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37761&lcdStatus=all&sortBy=title&ver=22
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=37761&ver=22
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38707&ver=8
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38288&lcdStatus=all&sortBy=title&stateRegion=all&ver=10
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58364&articleStatus=all&bc=3&sortBy=title&ver=36
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39881&lcdStatus=all&sortBy=title&ver=8
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37794&lcdStatus=all&sortBy=title&stateRegion=all&ver=23
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37832&lcdStatus=all&sortBy=title&ver=22
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37547&lcdStatus=all&sortBy=title&ver=17
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54769&articleStatus=all&bc=3&sortBy=title&ver=27
- https://www.cms.gov/cms20033-reconsideration-request-form
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59882&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=4
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=58
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59697&ver=6
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39758&lcdStatus=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37824&lcdStatus=all&sortBy=title&stateRegion=all&ver=19
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58782&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=3
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35076&lcdStatus=all&sortBy=title&stateRegion=all&ver=57
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58726&articleStatus=all&bc=3&sortBy=title&ver=69
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38566&lcdStatus=all&sortBy=title&stateRegion=all&ver=11
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40324&lcdStatus=all&sortBy=title&ver=6
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60155&articleStatus=all&bc=3&sortBy=title&ver=3
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39389&lcdStatus=all&sortBy=title&stateRegion=all&ver=5
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40231&proposedStatus=all&sortBy=title&stateRegion=all&ver=6
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38274&lcdStatus=all&sortBy=title&ver=10

…and more — 29 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://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37761&lcdStatus=all&sortBy=title&ver=22
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=37761&ver=22
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38707&ver=8

---

## iframe element is not empty (WCAG 1.4.8)

**Bug ID:** `VS-5bed5d08`  
**Pattern ID:** `VS-48291402`  
**URL:** http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39256&lcdStatus=all&sortBy=title&ver=7  
**XPath / selector:** `<p style="background: white; 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:** 406 instances; 16 of 5906 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W34 (10 weeks)

### Description
iframe element is not empty. Detected by Siteimprove Alfa rule sia-r71 on 16 of 5906 scanned pages (406 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39256&lcdStatus=all&sortBy=title&ver=7.
2. Locate the element: <p style="background: white; 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=39256&lcdStatus=all&sortBy=title&ver=7
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58761&articleStatus=all&bc=3&sortBy=title&ver=68
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39297&sortBy=relevance&ver=7
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58364&articleStatus=all&bc=3&sortBy=title&ver=36
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39836&lcdStatus=all&sortBy=title&ver=8
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56392&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=3
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=9&lcdid=40266&proposedStatus=all&sortBy=title&ver=5
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=58
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59070&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39758&lcdStatus=all&sortBy=title&ver=14
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59017&articleStatus=all&bc=3&sortBy=title&ver=3
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39297&lcdStatus=all&sortBy=title&ver=7
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60155&articleStatus=all&bc=3&sortBy=title&ver=3
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36044&ver=59
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56696&ver=43
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58405&articleStatus=all&bc=3&sortBy=title&ver=22

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

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

### Example pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39256&lcdStatus=all&sortBy=title&ver=7
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58761&articleStatus=all&bc=3&sortBy=title&ver=68
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=39297&sortBy=relevance&ver=7

---

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

**Bug ID:** `VS-d732e79c`  
**Pattern ID:** `VS-cb53cc4d`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37  
**XPath / selector:** `<a href="#h3LcdGuidanceHeader" data-href="h3LcdGuidanceHeader" class="nav-link toc-link no-link log-click" title="Jump to Coverage Guidance">`  
**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:** 26061 instances; 832 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

### Description
Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 832 of 5906 scanned pages (26061 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37.
2. Locate the element: <a href="#h3LcdGuidanceHeader" data-href="h3LcdGuidanceHeader" class="nav-link toc-link no-link log-click" title="Jump to Coverage Guidance">
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-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2018-transmittals-items/r204ncd
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2014-transmittals-items/r1414otn
- http://cms.gov/marketplace/agents-brokers/shop-resources
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53049&ver=99
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39688&lcdStatus=all&sortBy=title&stateRegion=all&ver=4
- http://cms.gov/medicare/coding-billing/electronic-billing/how-to-enroll-medicare-electronic-data-interchange
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57307&ver=38
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2017-transmittals?items_per_page=25&order=field_dyna_pe_number&page=2&sort=desc
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36665&lcdStatus=all&sortBy=title&stateRegion=all&ver=19
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33695&lcdStatus=all&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33784&lcdStatus=all&sortBy=title&ver=19
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r11891pi
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39027&lcdStatus=all&sortBy=title&stateRegion=all&ver=8
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60438&articleStatus=all&bc=3&sortBy=title&ver=5
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33833&lcdStatus=all&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=CAAAAAAAAAAA&ncdid=177&ncdver=5
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39256&lcdStatus=all&sortBy=title&ver=7
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58734&articleStatus=all&bc=3&sortBy=title&ver=20
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2013-transmittals-items/r2775cp
- https://www.cms.gov/about-cms/what-we-do/emergency-response/how-can-we-help
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53127&bc=12&contractorName=all&dateOption=current&sortBy=code&ver=193
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12423cp
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33576&lcdStatus=all&sortBy=title&ver=24

…and more — 832 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-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2018-transmittals-items/r204ncd
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2014-transmittals-items/r1414otn

---

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

**Bug ID:** `VS-3b5b9dbc`  
**Pattern ID:** `VS-bd13f00a`  
**URL:** https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0175.html  
**XPath / selector:** `td[width="31"]:nth-child(3) > a[accesskey="p"][href$="P0174.html"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `accesskeys` ([reference](https://dequeuniversity.com/rules/axe/4.12/accesskeys?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 114 instances; 39 of 5906 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W34 (8 weeks)

### HTML snippet
```html
<a accesskey="p" id="prev_page" href="P0174.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 39 of 5906 scanned pages (114 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0175.html.
2. Locate the element: td[width="31"]:nth-child(3) > a[accesskey="p"][href$="P0174.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/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0175.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0594.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0201.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0205.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0193.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0141.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0214.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0023.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0082.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0147.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0093.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0399.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0571.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0372.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0012.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0560.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0184.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0128.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0389.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0122.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0555.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0812.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0096.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0036.html

…and more — 39 pages total ([download CSV](csv/axe-core__accesskeys.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/accesskeys?application=axeAPI

### Example pages
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0175.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0594.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0201.html

---

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

**Bug ID:** `VS-543974d1`  
**Pattern ID:** `VS-d25f622d`  
**URL:** http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34537&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:** 305 instances; 299 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 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 299 of 5906 scanned pages (305 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34537&lcdStatus=all&sortBy=title.
2. Locate the element: #navStickyHeader
3. Confirm the axe-core finding for rule heading-order.

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

### Affected pages
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34537&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-mac-contacts-report.aspx?contractorName=all&contractorNumber=all&contractType=all&stateRegion=all
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=33630&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40192&proposedStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33642&lcdStatus=all&sortBy=title&stateRegion=all
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37003&lcdStatus=all&sortBy=title&stateRegion=all
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=37873&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40183&proposedStatus=all&sortBy=title
- http://www.cms.gov/medicare/regulations-guidance/advisory-committees/advisory-committee-air-ambulance-quality-patient-safety
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33577&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=36692&lcdStatus=all&sortBy=title
- http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=224
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=37062&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39836&proposedStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?calid=191&fromTracking=Y&proposed=N
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34209&lcdStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=34975&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33575&lcdStatus=all&sortBy=title&stateRegion=all
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=34415&lcdStatus=all&sortBy=title&stateRegion=all
- http://cms.gov/medicare/coding-billing/healthcare-common-procedure-system/level-ii-coding-process
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=33794&lcdStatus=all&sortBy=title&stateRegion=all
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=36715&lcdStatus=all&sortBy=title
- http://www.cms.gov/apps/aha/license.asp?file=%2Ffiles%2Fzip%2Fi%2Foce-pc-software-package-v242r0.zip
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=39594&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=33967&lcdStatus=all&sortBy=title

…and more — 299 pages total ([download CSV](csv/axe-core__heading-order.csv)).

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

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

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

### Example pages
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34537&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-mac-contacts-report.aspx?contractorName=all&contractorNumber=all&contractType=all&stateRegion=all
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=33630&lcdStatus=all&sortBy=title

---

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

**Bug ID:** `VS-13f99aff`  
**Pattern ID:** `VS-d5d82446`  
**URL:** http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.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:** 145 instances; 145 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

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

### Description
Document should have one main landmark. Detected by axe-core rule landmark-one-main on 145 of 5906 scanned pages (145 instances).

### Steps to reproduce
1. Open http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.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
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0175.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0480.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0594.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0201.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0035.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0376.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0205.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0093.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0447.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0193.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0636.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0013.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0962.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0110.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0026.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0141.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0214.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1869.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0023.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0035.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1156.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0082.html

…and more — 145 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
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0175.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html

---

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

**Bug ID:** `VS-bd52dbd4`  
**Pattern ID:** `VS-f18df681`  
**URL:** http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.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:** 2740 instances; 145 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 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 v37.2 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 145 of 5906 scanned pages (2740 instances).

### Steps to reproduce
1. Open http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.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
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0175.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0480.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0594.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0201.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0035.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0376.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0205.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0093.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0447.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0193.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0636.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0013.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0962.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0110.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0026.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0141.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0214.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1869.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0023.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0035.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1156.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0082.html

…and more — 145 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
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0175.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html

---

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

**Bug ID:** `VS-0cbfd628`  
**Pattern ID:** `VS-fa44f293`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1156.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:** 30 instances; 30 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

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

### Description
Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 30 of 5906 scanned pages (30 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1156.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/P1156.html
- https://www.cms.gov/medicaid-chip/community-engagement-support/eligibility-made-easy
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0578.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0499.html
- https://www.cms.gov/derechos-facturas-medicas/ayuda/guias/explicacion-de-beneficios
- https://www.cms.gov/data-research/cms-information-technology/tlc
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1174.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0772.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1485.html
- https://www.cms.gov/medicare/medicaid-coordination/states/medicaid-integrity-program
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0589.html
- http://www.cms.gov/RHTProgram
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0294.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
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1181.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1816.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0339.html
- https://www.cms.gov/medical-bill-rights/help/guides/financial-assistance
- https://www.cms.gov/nosurprises/policies-and-resources
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0022.html
- https://www.cms.gov/medical-bill-rights/help/dispute-a-bill
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0233.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0035.html

…and more — 30 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/P1156.html
- https://www.cms.gov/medicaid-chip/community-engagement-support/eligibility-made-easy
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0578.html

---

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

**Bug ID:** `VS-413f271c`  
**Pattern ID:** `VS-0ba8ce9d`  
**URL:** http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=224  
**XPath / selector:** `tr:nth-child(2) > td[scope="row"][valign="top"]`  
**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:** 814 instances; 27 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

### HTML snippet
```html
<td valign="top" scope="row"><p>Verigene Warfarin Metabolism Nucleic Acid Test</p></td>
```

### Description
scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 27 of 5906 scanned pages (814 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=224.
2. Locate the element: tr:nth-child(2) > td[scope="row"][valign="top"]
3. Confirm the axe-core finding for rule scope-attr-valid.

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

### Affected pages
- http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=224
- https://www.cms.gov/medicare-coverage-database/details/medcac-meeting-details.aspx?bc=AgAAAQAAEAoA&DocType=NCA%7CCAL&fromdb=true&MEDCACId=44&NCAId=218&NcaName=Positron+Emission+Tomography+%28FDG%29+for+Solid+Tumors&ver=15&year=2009
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=40&proposed=N
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=289&proposed=Y
- https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?NCAId=289
- https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?NCAId=237
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=190&ncdver=2
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=216&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/technology-assessments.aspx?bc=20&sortBy=title&taid=15&year=0
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=16&proposed=N
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=190&ncdver=4
- https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?NCAId=258
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AiAAAAAAEACA&docName=Decision+Memo+for+Cardiac+Pacemakers+%28CAG-00063R2%29&NCAId=267&NcaName=Cardiac+Pacemakers+%282nd+Recon%29&proposed=N
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=79&proposed=N
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AiAAAAAAAAAA&ncaid=233&proposed=Y&type=Closed
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=190&ncdver=1
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=242&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=19&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=220&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=274&proposed=N
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=202&proposed=N
- https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?bc=AgAAgAAAAEAAAA%3D%3D&NCDId=211&ncdver=2
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=228&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AgAAAQAAEAoA&DocType=NCA%7CCAL&fromdb=true&NCAId=157&NcaName=Percutaneous+Transluminal+Angioplasty+%28PTA%29+of+the+Carotid+Artery+Concurrent+with+Stenting&ver=14&year=2009
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=176&proposed=Y

…and more — 27 pages total ([download CSV](csv/axe-core__scope-attr-valid.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/scope-attr-valid?application=axeAPI

### Example pages
- http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=224
- https://www.cms.gov/medicare-coverage-database/details/medcac-meeting-details.aspx?bc=AgAAAQAAEAoA&DocType=NCA%7CCAL&fromdb=true&MEDCACId=44&NCAId=218&NcaName=Positron+Emission+Tomography+%28FDG%29+for+Solid+Tumors&ver=15&year=2009
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=40&proposed=N

---

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

**Bug ID:** `VS-cad2f204`  
**Pattern ID:** `VS-30db094d`  
**URL:** http://cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files  
**XPath / selector:** `.Header`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-banner-is-top-level` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-banner-is-top-level?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (8 weeks)

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

### Description
Banner landmark should not be contained in another landmark. Detected by axe-core rule landmark-banner-is-top-level on 2 of 5906 scanned pages (2 instances).

### Steps to reproduce
1. Open http://cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files.
2. Locate the element: .Header
3. Confirm the axe-core finding for rule landmark-banner-is-top-level.

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

### Affected pages
- http://cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files
- https://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files

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

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

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

### Example pages
- http://cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files
- https://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files

---

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

**Bug ID:** `VS-b06f71ce`  
**Pattern ID:** `VS-8806389c`  
**URL:** http://cms.gov/priorities/innovation/evaluation-research-reports  
**XPath / selector:** `nav[aria-labelledby="pagination-heading--9"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-unique` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 5906 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W34 (10 weeks)

### HTML snippet
```html
<nav class="ds-c-pagination" aria-labelledby="pagination-heading--9">
```

### Description
Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 1 of 5906 scanned pages (1 instances).

### Steps to reproduce
1. Open http://cms.gov/priorities/innovation/evaluation-research-reports.
2. Locate the element: nav[aria-labelledby="pagination-heading--9"]
3. Confirm the axe-core finding for rule landmark-unique.

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

### Affected pages
- http://cms.gov/priorities/innovation/evaluation-research-reports

### 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

---

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

**Bug ID:** `VS-15ab7030`  
**Pattern ID:** `VS-0066c67d`  
**URL:** http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.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:** 132 instances; 132 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

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

### Description
Headings should not be empty. Detected by axe-core rule empty-heading on 132 of 5906 scanned pages (132 instances).

### Steps to reproduce
1. Open http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.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
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0175.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0480.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0594.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0201.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0035.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0376.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0205.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0093.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0447.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0193.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0636.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0013.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0962.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0110.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0026.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0141.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0214.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1869.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0023.html
- https://cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0035.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0082.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0269.html

…and more — 132 pages total ([download CSV](csv/axe-core__empty-heading.csv)).

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

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

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

### Example pages
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0175.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html

---

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

**Bug ID:** `VS-46e5007a`  
**Pattern ID:** `VS-d69fc059`  
**URL:** https://www.cms.gov/medicare-coverage-database/details/medcac-meeting-details.aspx?bc=AgAAAQAAEAoA&DocType=NCA%7CCAL&fromdb=true&MEDCACId=44&NCAId=218&NcaName=Positron+Emission+Tomography+%28FDG%29+for+Solid+Tumors&ver=15&year=2009  
**XPath / selector:** `table[border="1"]:nth-child(5) > tbody > tr:nth-child(1) > th:nth-child(1)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `empty-table-header` ([reference](https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 12 instances; 8 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 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 8 of 5906 scanned pages (12 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/details/medcac-meeting-details.aspx?bc=AgAAAQAAEAoA&DocType=NCA%7CCAL&fromdb=true&MEDCACId=44&NCAId=218&NcaName=Positron+Emission+Tomography+%28FDG%29+for+Solid+Tumors&ver=15&year=2009.
2. Locate the element: table[border="1"]:nth-child(5) > tbody > tr:nth-child(1) > th:nth-child(1)
3. Confirm the axe-core finding for rule empty-table-header.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/details/medcac-meeting-details.aspx?bc=AgAAAQAAEAoA&DocType=NCA%7CCAL&fromdb=true&MEDCACId=44&NCAId=218&NcaName=Positron+Emission+Tomography+%28FDG%29+for+Solid+Tumors&ver=15&year=2009
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=NCA&ncaid=321&proposed=Y&sortBy=status&status=Open+for+Public+Comment
- http://www.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?ncaid=274&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55659&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36889&lcdStatus=all&sortBy=title&ver=25
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=16
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=309&proposed=Y&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
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI

### Example pages
- https://www.cms.gov/medicare-coverage-database/details/medcac-meeting-details.aspx?bc=AgAAAQAAEAoA&DocType=NCA%7CCAL&fromdb=true&MEDCACId=44&NCAId=218&NcaName=Positron+Emission+Tomography+%28FDG%29+for+Solid+Tumors&ver=15&year=2009
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=NCA&ncaid=321&proposed=Y&sortBy=status&status=Open+for+Public+Comment
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=21&doctype=all&ncaid=313&proposed=N&sortBy=updated&timeframe=30

---

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

**Bug ID:** `VS-ba9df155`  
**Pattern ID:** `VS-7118fead`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37  
**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:** 793 instances; 793 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

### Description
Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 793 of 5906 scanned pages (793 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37.
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-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2018-transmittals-items/r204ncd
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2014-transmittals-items/r1414otn
- http://cms.gov/marketplace/agents-brokers/shop-resources
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53049&ver=99
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39688&lcdStatus=all&sortBy=title&stateRegion=all&ver=4
- http://cms.gov/medicare/coding-billing/electronic-billing/how-to-enroll-medicare-electronic-data-interchange
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57307&ver=38
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2017-transmittals?items_per_page=25&order=field_dyna_pe_number&page=2&sort=desc
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36665&lcdStatus=all&sortBy=title&stateRegion=all&ver=19
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33695&lcdStatus=all&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33784&lcdStatus=all&sortBy=title&ver=19
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r11891pi
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39027&lcdStatus=all&sortBy=title&stateRegion=all&ver=8
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60438&articleStatus=all&bc=3&sortBy=title&ver=5
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33833&lcdStatus=all&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=CAAAAAAAAAAA&ncdid=177&ncdver=5
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39256&lcdStatus=all&sortBy=title&ver=7
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58734&articleStatus=all&bc=3&sortBy=title&ver=20
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2013-transmittals-items/r2775cp
- https://www.cms.gov/about-cms/what-we-do/emergency-response/how-can-we-help
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53127&bc=12&contractorName=all&dateOption=current&sortBy=code&ver=193
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12423cp
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33576&lcdStatus=all&sortBy=title&ver=24
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2017-transmittals-items/r198ncd

…and more — 793 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-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2018-transmittals-items/r204ncd
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2014-transmittals-items/r1414otn

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-822a8be2`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37  
**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:** 392 instances; 392 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

### Description
Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 392 of 5906 scanned pages (392 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37.
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
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53049&ver=99
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39688&lcdStatus=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57307&ver=38
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36665&lcdStatus=all&sortBy=title&stateRegion=all&ver=19
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33695&lcdStatus=all&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33784&lcdStatus=all&sortBy=title&ver=19
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39027&lcdStatus=all&sortBy=title&stateRegion=all&ver=8
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60438&articleStatus=all&bc=3&sortBy=title&ver=5
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33833&lcdStatus=all&sortBy=title&ver=26
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39256&lcdStatus=all&sortBy=title&ver=7
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58734&articleStatus=all&bc=3&sortBy=title&ver=20
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53127&bc=12&contractorName=all&dateOption=current&sortBy=code&ver=193
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33576&lcdStatus=all&sortBy=title&ver=24
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54841&articleStatus=all&bc=3&sortBy=title&ver=2
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33959&lcdStatus=all&sortBy=title&stateRegion=all&ver=36
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55936&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37893&lcdStatus=all&sortBy=title&stateRegion=all&ver=30
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40183&proposedStatus=all&sortBy=title
- http://www.cms.gov/medicare/regulations-guidance/advisory-committees/advisory-committee-air-ambulance-quality-patient-safety
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59854&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57526&articleStatus=all&bc=3&sortBy=title&ver=84
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36767&lcdStatus=all&sortBy=title&ver=27
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56850&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=32
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=60353&ver=4

…and more — 392 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
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33751&lcdStatus=all&sortBy=title&ver=37
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53049&ver=99
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39688&lcdStatus=all&sortBy=title&stateRegion=all&ver=4

---

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

**Bug ID:** `VS-a865c57c`  
**Pattern ID:** `VS-c18be945`  
**URL:** https://cms.gov/regulations-and-guidance/guidance/transmittals/2018-transmittals-items/r204ncd  
**XPath / selector:** `text: "Feedback"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 276 instances; 276 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

### Description
Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 276 of 5906 scanned pages (276 instances).

### Steps to reproduce
1. Open https://cms.gov/regulations-and-guidance/guidance/transmittals/2018-transmittals-items/r204ncd.
2. Locate the element: text: "Feedback"
3. Confirm the Siteimprove Alfa finding for rule sia-r57.

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

### Affected pages
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2018-transmittals-items/r204ncd
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2014-transmittals-items/r1414otn
- http://cms.gov/marketplace/agents-brokers/shop-resources
- http://cms.gov/medicare/coding-billing/electronic-billing/how-to-enroll-medicare-electronic-data-interchange
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2017-transmittals?items_per_page=25&order=field_dyna_pe_number&page=2&sort=desc
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r11891pi
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2013-transmittals-items/r2775cp
- https://www.cms.gov/about-cms/what-we-do/emergency-response/how-can-we-help
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12423cp
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2017-transmittals-items/r198ncd
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r11156otn
- https://cms.gov/medicare/quality/nursing-home-improvement/archive-quality-measures
- https://cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r12122cp
- http://www.cms.gov/medicare/regulations-guidance/advisory-committees/advisory-committee-air-ambulance-quality-patient-safety
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2013-transmittals-items/r2690cp
- https://cms.gov/about-cms/contact/directory/addiction-research-treatment-art-baart-behavioral-health-services-bbhs/1554736
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2025-transmittals/r13195cp
- https://www.cms.gov/research-statistics-data-and-systems/monitoring-programs/medicare-ffs-compliance-programs/recovery-audit-program/approved-rac-topics-items/0142-asc-services-during-a-covered-part-a-snf-stay
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2015-transmittals-items/r3215cp
- https://www.cms.gov/data-research/statistics-trends-and-reports/medicare-claims-synthetic-public-use-files/cms-2008-2010-data-entrepreneurs-synthetic-public-use-file-de-synpuf/de10-sample-20
- https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_revision_date&page=5&sort=desc
- https://www.cms.gov/data-research/statistics-trends-and-reports/medicare-advantagepart-d-contract-and-enrollment-data/monthly-ma-enrollment-state/county/contract/ma-enrollment-scc-2026-07
- http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r11553demo
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals?items_per_page=25&order=field_dyna_subject_formatted&page=7&sort=desc
- https://cms.gov/priorities/burden-reduction/overview/interoperability/frequently-asked-questions/admission-discharge-transfer-patient-event-notification-conditions-participation-cop-42-cfr-482-24d

…and more — 276 pages total ([download CSV](csv/alfa__sia-r57.csv)).

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

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

### Example pages
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2018-transmittals-items/r204ncd
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2014-transmittals-items/r1414otn
- http://cms.gov/marketplace/agents-brokers/shop-resources

---

## Table header has scope (WCAG criterion undetermined)

**Bug ID:** `VS-652a805b`  
**Pattern ID:** `VS-2cd767ca`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53049&ver=99  
**XPath / selector:** `<h4>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r78` ([reference](https://alfa.siteimprove.com/rules/sia-r78))  
**Severity:** Moderate  
**Frequency:** 289 instances; 200 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

### Description
Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 200 of 5906 scanned pages (289 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53049&ver=99.
2. Locate the element: <h4>
3. Confirm the Siteimprove Alfa finding for rule sia-r78.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53049&ver=99
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57307&ver=38
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33784&lcdStatus=all&sortBy=title&ver=19
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58734&articleStatus=all&bc=3&sortBy=title&ver=20
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53127&bc=12&contractorName=all&dateOption=current&sortBy=code&ver=193
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=40183&proposedStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57526&articleStatus=all&bc=3&sortBy=title&ver=84
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0376.html
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56850&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=32
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56686&articleStatus=all&bc=3&sortBy=title&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59849&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=8
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0093.html
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=33967&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58761&articleStatus=all&bc=3&sortBy=title&ver=68
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0962.html
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=34869&lcdStatus=all&sortBy=title
- http://cms.gov/marketplace/agents-brokers/resources
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57662&ver=12
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=33467&lcdStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57484&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=22
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59192&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0141.html
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=33619&lcdStatus=all&sortBy=title

…and more — 200 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://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53049&ver=99
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57307&ver=38
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33784&lcdStatus=all&sortBy=title&ver=19

---

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

**Bug ID:** `VS-44d6bda5`  
**Pattern ID:** `VS-04a9d28c`  
**URL:** http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html  
**XPath / selector:** `img`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `presentational-attr`  
**Severity:** Moderate  
**Frequency:** 974 instances; 33 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

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

### Description
Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 33 of 5906 scanned pages (974 instances).

### Steps to reproduce
1. Open http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html.
2. Locate the element: img
3. Confirm the deprecated-html finding for rule presentational-attr.

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

### Affected pages
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0480.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52504&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=55
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0013.html
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33789&lcdStatus=all&sortBy=title&stateRegion=all&ver=38
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38435&lcdStatus=all&sortBy=title&ver=12
- https://www.cms.gov/newsroom/fact-sheets/cms-proposes-requirements-electronic-health-records-ehr-medicare-incentive-program
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0578.html
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=21&doctype=all&ncaid=313&proposed=N&sortBy=updated&timeframe=30
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0149.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57611&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=16
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=190&ncdver=2
- https://www.cms.gov/medicare-coverage-database/view/technology-assessments.aspx?bc=20&sortBy=title&taid=15&year=0
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0337.html
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=3
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=9&lcdid=40266&proposedStatus=all&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58812&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=76
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38709&ver=5
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37311&lcdStatus=all&sortBy=title&ver=21
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52507&articleStatus=all&bc=3&sortBy=title&ver=139
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38809&lcdStatus=all&sortBy=title&ver=30
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0036.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38337&lcdStatus=all&sortBy=title&ver=15
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1993.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=37921&ver=16

…and more — 33 pages total ([download CSV](csv/deprecated-html__presentational-attr.csv)).

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

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

### Example pages
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0480.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52504&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=55

---

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

**Bug ID:** `VS-eb8fd151`  
**Pattern ID:** `VS-f2542d87`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=16&proposed=N  
**XPath / selector:** `<pre>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r79` ([reference](https://alfa.siteimprove.com/rules/sia-r79))  
**Severity:** Moderate  
**Frequency:** 4 instances; 4 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (11 weeks)

### Description
Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 4 of 5906 scanned pages (4 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=16&proposed=N.
2. Locate the element: <pre>
3. Confirm the Siteimprove Alfa finding for rule sia-r79.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=16&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=19&proposed=N&sortBy=status&status=all
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=202&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=309&proposed=Y&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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=16&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=19&proposed=N&sortBy=status&status=all
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=202&proposed=N

---

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

**Bug ID:** `VS-661c8ba8`  
**Pattern ID:** `VS-7fbb8b20`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0294.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:** 4 instances; 4 of 5906 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W34 (9 weeks)

### Description
Element with orientation is not locked. Detected by Siteimprove Alfa rule sia-r59 on 4 of 5906 scanned pages (4 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0294.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/P0294.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0022.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1742.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0919.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/P0294.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0022.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1742.html

---

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

**Bug ID:** `VS-5ff352f6`  
**Pattern ID:** `VS-e43903a1`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0294.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:** 8 instances; 4 of 5906 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W34 (9 weeks)

### Description
Form field error is identified and described. Detected by Siteimprove Alfa rule sia-r75 on 4 of 5906 scanned pages (8 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0294.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/P0294.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0022.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1742.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0919.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/P0294.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0022.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1742.html

---

## aria attribute is permitted for element role (WCAG criterion undetermined)

**Bug ID:** `VS-33024341`  
**Pattern ID:** `VS-e05344b9`  
**URL:** http://cms.gov/priorities/innovation/evaluation-research-reports  
**XPath / selector:** `@aria-invalid="false"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r18` ([reference](https://alfa.siteimprove.com/rules/sia-r18))  
**Severity:** Moderate  
**Frequency:** 7 instances; 2 of 5906 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W34 (7 weeks)

### Description
aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 2 of 5906 scanned pages (7 instances).

### Steps to reproduce
1. Open http://cms.gov/priorities/innovation/evaluation-research-reports.
2. Locate the element: @aria-invalid="false"
3. Confirm the Siteimprove Alfa finding for rule sia-r18.

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

### Affected pages
- http://cms.gov/priorities/innovation/evaluation-research-reports
- https://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files

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

### Suggested fix
**How to fix:** Only use ARIA states/properties that are allowed on this element/role.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18

### Example pages
- http://cms.gov/priorities/innovation/evaluation-research-reports
- https://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files

---

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

**Bug ID:** `VS-a8b2a31c`  
**Pattern ID:** `VS-3d033717`  
**URL:** http://cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=190&ncdver=4  
**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 5906 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W34 (10 weeks)

### Description
No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 2 of 5906 scanned pages (2 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=190&ncdver=4.
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
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=190&ncdver=4
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=309&proposed=Y&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-r70

### Example pages
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=190&ncdver=4
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=309&proposed=Y&sortBy=status&status=all

---

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

**Bug ID:** `VS-1bc297b2`  
**Pattern ID:** `VS-4c341c77`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=16  
**XPath / selector:** `<p>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r85` ([reference](https://alfa.siteimprove.com/rules/sia-r85))  
**Severity:** Moderate  
**Frequency:** 3 instances; 1 of 5906 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W34 (10 weeks)

### Description
Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 1 of 5906 scanned pages (3 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=16.
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/view/medcac-meeting.aspx?medcacid=16

### 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

---

## First focusable element is link to main content (WCAG criterion undetermined)

**Bug ID:** `VS-516b3c00`  
**Pattern ID:** `VS-aa242c2d`  
**URL:** https://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r87` ([reference](https://alfa.siteimprove.com/rules/sia-r87))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 5906 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W34 (7 weeks)

### Description
First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 1 of 5906 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r87.

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

### Affected pages
- https://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files

### 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-r87

---

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

**Bug ID:** `VS-653a83ec`  
**Pattern ID:** `VS-91d2294a`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?ncaId=315  
**XPath / selector:** `font`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `font-element`  
**Severity:** Moderate  
**Frequency:** 104 instances; 1 of 5906 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W34 (10 weeks)

### HTML snippet
```html
<font color="FF0000"><u>with the intention of providing</u> <s>in the</s></font>
```

### Description
Obsolete <font> element (use CSS). Detected by deprecated-html rule font-element on 1 of 5906 scanned pages (104 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?ncaId=315.
2. Locate the element: font
3. Confirm the deprecated-html finding for rule font-element.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?ncaId=315

### 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.