{
 "schema_version": "0.1",
 "site": "www.cms.gov",
 "scan_week": "2026-W34",
 "generated_at": "2026-09-30T18:09:02.642Z",
 "source_files": [
  "docs/reports/www.cms.gov/2026-W34/",
  "data/www.cms.gov/findings.json",
  "data/www.cms.gov/2026-W34/summary.json"
 ],
 "summary": {
  "pages_known": 59115,
  "pages_scanned_this_week": 5906,
  "pages_with_known_issues": 36959,
  "findings": 53,
  "clusters": 46,
  "new_findings": 0,
  "persistent_findings": 41,
  "high_priority_findings": 29
 },
 "top_risks": [
  {
   "finding_id": "VS-8ade3360",
   "rule_id": "link-in-text-block",
   "rule_label": "Links must be distinguishable without relying on color",
   "severity": "Serious",
   "priority": "p1",
   "trend": "worsening",
   "pages_affected": 533,
   "rationale": "Serious severity; affects 533 pages; worsening trend",
   "top_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"
  },
  {
   "finding_id": "VS-a0bdbdf6",
   "rule_id": "list",
   "rule_label": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements",
   "severity": "Serious",
   "priority": "p1",
   "trend": "worsening",
   "pages_affected": 355,
   "rationale": "Serious severity; affects 355 pages; worsening trend",
   "top_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"
  },
  {
   "finding_id": "VS-c126b6a6",
   "rule_id": "html-has-lang",
   "rule_label": "<html> element must have a lang attribute",
   "severity": "Serious",
   "priority": "p1",
   "trend": "improving",
   "pages_affected": 145,
   "rationale": "Serious severity; affects 145 pages",
   "top_url": "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html"
  },
  {
   "finding_id": "VS-9074b4dd",
   "rule_id": "image-alt",
   "rule_label": "Images must have alternative text",
   "severity": "Critical",
   "priority": "p1",
   "trend": "improving",
   "pages_affected": 128,
   "rationale": "Critical severity; affects 128 pages",
   "top_url": "http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html"
  },
  {
   "finding_id": "VS-bd13f00a",
   "rule_id": "accesskeys",
   "rule_label": "accesskey attribute value should be unique",
   "severity": "Serious",
   "priority": "p1",
   "trend": "improving",
   "pages_affected": 39,
   "rationale": "Serious severity",
   "top_url": "https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0175.html"
  },
  {
   "finding_id": "VS-be8d563e",
   "rule_id": "color-contrast",
   "rule_label": "Elements must meet minimum color contrast ratio thresholds",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 31,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36665&lcdStatus=all&sortBy=title&stateRegion=all&ver=19"
  },
  {
   "finding_id": "VS-fafffee0",
   "rule_id": "label",
   "rule_label": "Form elements must have labels",
   "severity": "Critical",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 18,
   "rationale": "Critical severity; persistent across weeks",
   "top_url": "https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1156.html"
  },
  {
   "finding_id": "VS-6175596b",
   "rule_id": "listitem",
   "rule_label": "<li> elements must be contained in a <ul> or <ol>",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 9,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=289&proposed=Y"
  },
  {
   "finding_id": "VS-e9fe47ac",
   "rule_id": "link-name",
   "rule_label": "Links must have discernible text",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 3,
   "rationale": "Serious severity; persistent across weeks",
   "top_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"
  },
  {
   "finding_id": "VS-dd1c019f",
   "rule_id": "valid-lang",
   "rule_label": "lang attribute must have a valid value",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 3,
   "rationale": "Serious severity; persistent across weeks",
   "top_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"
  }
 ],
 "findings": [
  {
   "finding_id": "VS-8ade3360",
   "fingerprint": "8bf51706",
   "rule_id": "link-in-text-block",
   "rule_label": "Links must be distinguishable without relying on color",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 533 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 533,
    "affected_pages_previous": 366
   },
   "frequency": {
    "instances": 1304,
    "pages_affected": 533,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Links must be distinguishable without relying on color (WCAG 1.4.1)",
   "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).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule link-in-text-block (WCAG 1.4.1).",
   "actual_behavior": "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).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "10779336",
     "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>",
     "selectors": [
      "#lblProposedLcd > .system-link.log-click[target=\"_blank\"]"
     ]
    },
    {
     "fingerprint": "b664d8aa",
     "html": "<a href=\"https://localcoverage.cms.gov/mcd_archive/view/lcd.aspx?lcdInfo=39453:11\" target=\"_blank\" class=\"log-click system-link\" data-page-action=\"Clicked the Source Proposed LCD link\">DL36690</a>",
     "selectors": [
      "#lblProposedLcd > .system-link.log-click[target=\"_blank\"]"
     ]
    },
    {
     "fingerprint": "59d50b94",
     "html": "<a href=\"http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=hsahcpr&part=A9026#A9026.\" target=\"_blank\" rel=\"noopener noreferrer\">",
     "selectors": [
      "#lblBibliography > ol > li:nth-child(2) > a[target=\"_blank\"][rel=\"noopener noreferrer\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 20
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/view/nca.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without color perception (4.5%), Limited vision (2.4%)."
   }
  },
  {
   "finding_id": "VS-a0bdbdf6",
   "fingerprint": "ca0fa40f",
   "rule_id": "list",
   "rule_label": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 355 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 355,
    "affected_pages_previous": 210
   },
   "frequency": {
    "instances": 1622,
    "pages_affected": 355,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements (WCAG 1.3.1)",
   "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).",
   "remediation_tip": "Use <ul>/<ol> with only <li> children for lists; don't fake lists with <div>s.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule list (WCAG 1.3.1).",
   "actual_behavior": "<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).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "34cea4c3",
     "html": "<ul>",
     "selectors": [
      "#lblCmsNationalCoveragePolicy > ul:nth-child(3)",
      "ul:nth-child(30)"
     ]
    },
    {
     "fingerprint": "e59111af",
     "html": "<ul>\n<li>NCCI Policy Manual for Medicare Services</li>\n<ul>\n<li>Chapter 11, Section G. Ophthalmology&nbsp;&nbsp;</li>\n</ul>\n</ul>",
     "selectors": [
      "#lblCmsNationalCoveragePolicy > ul:nth-child(5)"
     ]
    },
    {
     "fingerprint": "9e58e681",
     "html": "<ul type=\"disc\">",
     "selectors": [
      "ul[type=\"disc\"]:nth-child(2)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 14
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 10
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-c126b6a6",
   "fingerprint": "b6dc10f1",
   "rule_id": "html-has-lang",
   "rule_label": "<html> element must have a lang attribute",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "3.1.1",
   "wcag_name": "Language of Page",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 145 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 145,
    "affected_pages_previous": 256
   },
   "frequency": {
    "instances": 145,
    "pages_affected": 145,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "<html> element must have a lang attribute (WCAG 3.1.1)",
   "description": "<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 145 of 5906 scanned pages (145 instances).",
   "remediation_tip": "Add a lang attribute to <html> (e.g. lang=\"en\").",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule html-has-lang (WCAG 3.1.1).",
   "actual_behavior": "<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 145 of 5906 scanned pages (145 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "3e866d4c",
     "html": "<html>",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0175.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-9074b4dd",
   "fingerprint": "f1846b41",
   "rule_id": "image-alt",
   "rule_label": "Images must have alternative text",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "severity": "Critical",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Critical severity; affects 128 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 10,
    "affected_pages_current": 128,
    "affected_pages_previous": 248
   },
   "frequency": {
    "instances": 128,
    "pages_affected": 128,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Images must have alternative text (WCAG 1.1.1)",
   "description": "Images must have alternative text. Detected by axe-core rule image-alt on 128 of 5906 scanned pages (128 instances).",
   "remediation_tip": "Give every <img> a meaningful alt attribute. Use alt=\"\" only for decorative images so screen readers skip them.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule image-alt (WCAG 1.1.1).",
   "actual_behavior": "Images must have alternative text. Detected by axe-core rule image-alt on 128 of 5906 scanned pages (128 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "6f85ea95",
     "html": "<img src=\"cms-site-logo.png\">",
     "selectors": [
      "img[src$=\"cms-site-logo.png\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0175.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-bd13f00a",
   "fingerprint": "952edfaf",
   "rule_id": "accesskeys",
   "rule_label": "accesskey attribute value should be unique",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/accesskeys?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W25",
    "last_observed": "2026-W34",
    "weeks_observed": 8,
    "affected_pages_current": 39,
    "affected_pages_previous": 87
   },
   "frequency": {
    "instances": 114,
    "pages_affected": 39,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "accesskey attribute value should be unique (WCAG criterion undetermined)",
   "description": "accesskey attribute value should be unique. Detected by axe-core rule accesskeys on 39 of 5906 scanned pages (114 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/accesskeys?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule accesskeys.",
   "actual_behavior": "accesskey attribute value should be unique. Detected by axe-core rule accesskeys on 39 of 5906 scanned pages (114 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "197c9cb1",
     "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>",
     "selectors": [
      "td[width=\"31\"]:nth-child(3) > a[accesskey=\"p\"][href$=\"P0174.html\"]"
     ]
    },
    {
     "fingerprint": "e5f78a38",
     "html": "<a accesskey=\"u\" id=\"up_level\" href=\"P0009.html\"><img src=\"uptop.png\" alt=\"Up a level [Alt-u]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a>",
     "selectors": [
      "td[width=\"31\"]:nth-child(4) > a[accesskey=\"u\"][href$=\"P0009.html\"]"
     ]
    },
    {
     "fingerprint": "f981f4ea",
     "html": "<a accesskey=\"n\" id=\"next_page\" href=\"P0176.html\"><img src=\"fwdpg.png\" alt=\"Next Page [Alt-n]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a>",
     "selectors": [
      "td[width=\"31\"]:nth-child(5) > a[accesskey=\"n\"][href$=\"P0176.html\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0175.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0594.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0201.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-be8d563e",
   "fingerprint": "1820bc84",
   "rule_id": "color-contrast",
   "rule_label": "Elements must meet minimum color contrast ratio thresholds",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 31,
    "affected_pages_previous": 43
   },
   "frequency": {
    "instances": 423,
    "pages_affected": 31,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Elements must meet minimum color contrast ratio thresholds (WCAG 1.4.3)",
   "description": "Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 31 of 5906 scanned pages (423 instances).",
   "remediation_tip": "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.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule color-contrast (WCAG 1.4.3).",
   "actual_behavior": "Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 31 of 5906 scanned pages (423 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "2204a476",
     "html": "<strong>Clinicopathologic Findings</strong>",
     "selectors": [
      "tr:nth-child(3) > td:nth-child(1) > strong"
     ]
    },
    {
     "fingerprint": "ec9b8b59",
     "html": "<p style=\"line-height: normal;\">Column I</p>",
     "selectors": [
      "tr:nth-child(1) > td[width=\"50%\"] > p"
     ]
    },
    {
     "fingerprint": "1c4449a9",
     "html": "<p style=\"line-height: normal;\">Column II</p>",
     "selectors": [
      "td[width=\"30%\"] > p"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 14
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 5
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%), Without color perception (4.5%)."
   }
  },
  {
   "finding_id": "VS-fafffee0",
   "fingerprint": "d5e15238",
   "rule_id": "label",
   "rule_label": "Form elements must have labels",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/label?application=axeAPI",
   "severity": "Critical",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Critical severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W26",
    "last_observed": "2026-W34",
    "weeks_observed": 9,
    "affected_pages_current": 18,
    "affected_pages_previous": 11
   },
   "frequency": {
    "instances": 18,
    "pages_affected": 18,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Form elements must have labels (WCAG 4.1.2)",
   "description": "Form elements must have labels. Detected by axe-core rule label on 18 of 5906 scanned pages (18 instances).",
   "remediation_tip": "Associate every form control with a <label> (via for/id) or an aria-label/aria-labelledby.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule label (WCAG 4.1.2).",
   "actual_behavior": "Form elements must have labels. Detected by axe-core rule label on 18 of 5906 scanned pages (18 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "b2d78865",
     "html": "<input type=\"text\" name=\"q\" id=\"q\" value=\"Search now\" size=\"10\" maxlength=\"50\" class=\"srchbox\" onfocus=\"this.value='';\">",
     "selectors": [
      "#q"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P1156.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0578.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0499.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-6175596b",
   "fingerprint": "7ac6b8df",
   "rule_id": "listitem",
   "rule_label": "<li> elements must be contained in a <ul> or <ol>",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "medium",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 9,
    "affected_pages_previous": 11
   },
   "frequency": {
    "instances": 65,
    "pages_affected": 9,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "<li> elements must be contained in a <ul> or <ol> (WCAG 1.3.1)",
   "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).",
   "remediation_tip": "<li> must be inside a <ul> or <ol>.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule listitem (WCAG 1.3.1).",
   "actual_behavior": "<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 9 of 5906 scanned pages (65 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "dc2785b7",
     "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>",
     "selectors": [
      "div:nth-child(371) > li:nth-child(4)"
     ]
    },
    {
     "fingerprint": "c87ad76c",
     "html": "<li>",
     "selectors": [
      "div:nth-child(371) > li:nth-child(6)"
     ]
    },
    {
     "fingerprint": "821afefa",
     "html": "<li>MRA and CA are not expected to be performed on the same patient for diagnostic purposes prior to the application of anticipated therapy. Only one of these tests will be covered routinely unless th",
     "selectors": [
      "div:nth-child(371) > li:nth-child(8)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 5
    },
    {
     "pattern": "/medicare-coverage-database/details/nca-proposed-decision-memo.aspx",
     "count": 1
    },
    {
     "pattern": "/medicare-coverage-database/view/medcac-meeting.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-e9fe47ac",
   "fingerprint": "f85a6839",
   "rule_id": "link-name",
   "rule_label": "Links must have discernible text",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "2.4.4",
   "wcag_name": "Link Purpose (In Context)",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "medium",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 3,
    "affected_pages_previous": 3
   },
   "frequency": {
    "instances": 4,
    "pages_affected": 3,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Links must have discernible text (WCAG 2.4.4)",
   "description": "Links must have discernible text. Detected by axe-core rule link-name on 3 of 5906 scanned pages (4 instances).",
   "remediation_tip": "Give the link discernible text. Avoid empty links and icon-only links without an aria-label.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule link-name (WCAG 2.4.4).",
   "actual_behavior": "Links must have discernible text. Detected by axe-core rule link-name on 3 of 5906 scanned pages (4 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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_fragments": [
    {
     "fingerprint": "1899d1c2",
     "html": "<a href=\"#4\">\t</a>",
     "selectors": [
      "li:nth-child(5) > a[href=\"#4\"]"
     ]
    },
    {
     "fingerprint": "ccb1dfe0",
     "html": "<a href=\"https://www.youtube.com/watch?v=fxSXDxrNyQk\" data-once=\"linkMatch\">&nbsp;</a>",
     "selectors": [
      "li:nth-child(1) > a[data-once=\"linkMatch\"]:nth-child(2)"
     ]
    },
    {
     "fingerprint": "6c144ba9",
     "html": "<a href=\"/files/document/clia-cert-quick-start-guide.pdf\" data-entity-substitution=\"canonical\" data-entity-type=\"media\" data-entity-uuid=\"27ce5119-858b-44f2-bbc6-c5d2d56ce4f0\" data-once=\"linkMatch\"></",
     "selectors": [
      "div > a[data-entity-type=\"media\"][data-entity-substitution=\"canonical\"][data-once=\"linkMatch\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 1
    },
    {
     "pattern": "/medicare/medicaid-coordination/about/resources-integrated-care",
     "count": 1
    },
    {
     "pattern": "/medicare/quality/clinical-laboratory-improvement-amendments",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-dd1c019f",
   "fingerprint": "dec2d038",
   "rule_id": "valid-lang",
   "rule_label": "lang attribute must have a valid value",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "3.1.2",
   "wcag_name": "Language of Parts",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "medium",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 3,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 19,
    "pages_affected": 3,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "lang attribute must have a valid value (WCAG 3.1.2)",
   "description": "lang attribute must have a valid value. Detected by axe-core rule valid-lang on 3 of 5906 scanned pages (19 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule valid-lang (WCAG 3.1.2).",
   "actual_behavior": "lang attribute must have a valid value. Detected by axe-core rule valid-lang on 3 of 5906 scanned pages (19 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "17fbe134",
     "html": "<span lang=\"X-NONE\">",
     "selectors": [
      "li:nth-child(1) > span[lang=\"X-NONE\"]",
      "li:nth-child(2) > span[lang=\"X-NONE\"]:nth-child(2)"
     ]
    },
    {
     "fingerprint": "cdedfd52",
     "html": "<span lang=\"X-NONE\">Vasomotor adrenergic innervation&nbsp;</span>",
     "selectors": [
      "li:nth-child(2) > span[lang=\"X-NONE\"]:nth-child(1)"
     ]
    },
    {
     "fingerprint": "f05b811b",
     "html": "<span lang=\"X-NONE\">[1]</span>",
     "selectors": [
      "a[href$=\"#_ftnref1\"] > span[lang=\"X-NONE\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 2
    },
    {
     "pattern": "/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-c613c153",
   "fingerprint": "364ee5cc",
   "rule_id": "scrollable-region-focusable",
   "rule_label": "Scrollable region must have keyboard access",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "2.1.1",
   "wcag_name": "Keyboard",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/scrollable-region-focusable?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W34",
    "weeks_observed": 7,
    "affected_pages_current": 2,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Scrollable region must have keyboard access (WCAG 2.1.1)",
   "description": "Scrollable region must have keyboard access. Detected by axe-core rule scrollable-region-focusable on 2 of 5906 scanned pages (2 instances).",
   "remediation_tip": "Make scrollable regions keyboard-focusable (tabindex=\"0\") so keyboard users can scroll them.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scrollable-region-focusable?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule scrollable-region-focusable (WCAG 2.1.1).",
   "actual_behavior": "Scrollable region must have keyboard access. Detected by axe-core rule scrollable-region-focusable on 2 of 5906 scanned pages (2 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "4cf6e3a7",
     "html": "<pre>",
     "selectors": [
      "pre"
     ]
    },
    {
     "fingerprint": "6a7cbd8a",
     "html": "<pre>TO: \t\t Administrative File: &nbsp;CAG-00085R8 \n\nFROM:\t\tCoverage and Analysis Group (CAG)\n\nSUBJECT: \tProposed National Coverage Determination for Percutaneous Transluminal Angioplasty (PTA) of the",
     "selectors": [
      "pre"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited manipulation/strength (13.0%), Limited reach (2.0%)."
   }
  },
  {
   "finding_id": "VS-f7280372",
   "fingerprint": "2ab3f72e",
   "rule_id": "aria-progressbar-name",
   "rule_label": "ARIA progressbar nodes must have an accessible name",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-progressbar-name?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W27",
    "last_observed": "2026-W34",
    "weeks_observed": 4,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "ARIA progressbar nodes must have an accessible name (WCAG 1.1.1)",
   "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).",
   "remediation_tip": "Give the progressbar an accessible name.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-progressbar-name?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-progressbar-name (WCAG 1.1.1).",
   "actual_behavior": "ARIA progressbar nodes must have an accessible name. Detected by axe-core rule aria-progressbar-name on 1 of 5906 scanned pages (1 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/search-results.aspx?areaId=all&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=33632&sortBy=relevance"
   ],
   "html_fragments": [
    {
     "fingerprint": "b8319265",
     "html": "<span class=\"ds-c-spinner\" aria-valuetext=\"Loading\" role=\"progressbar\"></span>",
     "selectors": [
      "#searchResults > tfoot > tr > .text-center[colspan=\"5\"][data-exclude=\"true\"] > .ds-c-spinner[aria-valuetext=\"Loading\"][role=\"progressbar\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/search-results.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-07ba3b17",
   "fingerprint": "993f6ba8",
   "rule_id": "td-headers-attr",
   "rule_label": "Table cell headers attributes must refer to other <th> elements in the same tabl",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W34",
    "weeks_observed": 10,
    "affected_pages_current": 1,
    "affected_pages_previous": 3
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Table cell headers attributes must refer to other <th> elements in the same tabl (WCAG 1.3.1)",
   "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).",
   "remediation_tip": "Associate data cells with their headers correctly using headers/id or scope.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule td-headers-attr (WCAG 1.3.1).",
   "actual_behavior": "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).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_release_date&page=9&sort=desc"
   ],
   "html_fragments": [
    {
     "fingerprint": "7e037dac",
     "html": "<table class=\"MsoTableGrid\">",
     "selectors": [
      ".MsoTableGrid"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare/regulations-guidance/transmittals/{id}-transmittals",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-45146742",
   "fingerprint": "cc19d944",
   "rule_id": "aria-hidden-focus",
   "rule_label": "ARIA hidden element must not be focusable or contain focusable elements",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-hidden-focus?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W34",
    "last_observed": "2026-W34",
    "weeks_observed": 1,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 5,
    "pages_affected": 1,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "ARIA hidden element must not be focusable or contain focusable elements (WCAG 4.1.2)",
   "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).",
   "remediation_tip": "Don't put focusable elements inside aria-hidden=\"true\"; they become a keyboard trap for screen-reader users.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-hidden-focus?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-hidden-focus (WCAG 4.1.2).",
   "actual_behavior": "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).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://www.cms.gov/newsroom/fact-sheets/market-saturation-utilization-data-tool-0"
   ],
   "html_fragments": [
    {
     "fingerprint": "638b1c73",
     "html": "<div id=\"link-list-block-cms-evo-cmshhswebsitescmsglobalfooter-menu\" aria-hidden=\"true\" class=\"cms--link-list__links\">",
     "selectors": [
      "#link-list-block-cms-evo-cmshhswebsitescmsglobalfooter-menu",
      "#link-list-block-aboutcms-menu",
      "#link-list-block-cms-evo-toolscmsglobalfooter-menu"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/newsroom/fact-sheets/market-saturation-utilization-data-tool-0",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-cb53cc4d",
   "fingerprint": "1738fa81",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 832 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 832,
    "affected_pages_previous": 377
   },
   "frequency": {
    "instances": 26061,
    "pages_affected": 832,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)",
   "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).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r111 (WCAG 2.5.5).",
   "actual_behavior": "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).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 9
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 5
    },
    {
     "pattern": "/regulations-and-guidance/guidance/transmittals/{id}-transmittals-items/r204ncd",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-2208081b",
   "fingerprint": "40bbca09",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 824 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 824,
    "affected_pages_previous": 367
   },
   "frequency": {
    "instances": 11295,
    "pages_affected": 824,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)",
   "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).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r73 (WCAG 1.4.8).",
   "actual_behavior": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 824 of 5906 scanned pages (11295 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 9
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 5
    },
    {
     "pattern": "/regulations-and-guidance/guidance/transmittals/{id}-transmittals-items/r204ncd",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-7118fead",
   "fingerprint": "0d932ac9",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 793 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 793,
    "affected_pages_previous": 346
   },
   "frequency": {
    "instances": 793,
    "pages_affected": 793,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 793 of 5906 scanned pages (793 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r61.",
   "actual_behavior": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 793 of 5906 scanned pages (793 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 9
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 5
    },
    {
     "pattern": "/regulations-and-guidance/guidance/transmittals/{id}-transmittals-items/r204ncd",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-fbf54eba",
   "fingerprint": "773d6316",
   "rule_id": "sia-r74",
   "rule_label": "Link is distinguishable without relying on color",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r74",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 427 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 427,
    "affected_pages_previous": 181
   },
   "frequency": {
    "instances": 27962,
    "pages_affected": 427,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Link is distinguishable without relying on color (WCAG 1.4.8)",
   "description": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 427 of 5906 scanned pages (27962 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r74 (WCAG 1.4.8).",
   "actual_behavior": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 427 of 5906 scanned pages (27962 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 11
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 9
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 2.57,
     "pages_with_both": 9
    },
    {
     "technology": "jsDelivr",
     "lift": 1.96,
     "pages_with_both": 48
    },
    {
     "technology": "Bootstrap",
     "lift": 1.96,
     "pages_with_both": 48
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f7dba940",
   "fingerprint": "477d8088",
   "rule_id": "sia-r14",
   "rule_label": "Accessible name of link or button matches visible label",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.3",
   "wcag_name": "Label in Name",
   "wcag_level": "A",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.1 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r14",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 426 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 426,
    "affected_pages_previous": 182
   },
   "frequency": {
    "instances": 1114,
    "pages_affected": 426,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Accessible name of link or button matches visible label (WCAG 2.5.3)",
   "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).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r14 (WCAG 2.5.3).",
   "actual_behavior": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 426 of 5906 scanned pages (1114 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 11
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 9
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 2.57,
     "pages_with_both": 9
    },
    {
     "technology": "jsDelivr",
     "lift": 1.96,
     "pages_with_both": 48
    },
    {
     "technology": "Bootstrap",
     "lift": 1.96,
     "pages_with_both": 48
    }
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "WS",
      "group": "Without speech",
      "prevalence": 0.005,
      "percent": "0.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Without speech (0.5%)."
   }
  },
  {
   "finding_id": "VS-646b1e0b",
   "fingerprint": "afad441e",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 426 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 426,
    "affected_pages_previous": 182
   },
   "frequency": {
    "instances": 2642,
    "pages_affected": 426,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 426 of 5906 scanned pages (2642 instances).",
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r66 (WCAG 1.4.6).",
   "actual_behavior": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 426 of 5906 scanned pages (2642 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 11
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 9
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 2.57,
     "pages_with_both": 9
    },
    {
     "technology": "jsDelivr",
     "lift": 1.96,
     "pages_with_both": 48
    },
    {
     "technology": "Bootstrap",
     "lift": 1.96,
     "pages_with_both": 48
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f054f4a4",
   "fingerprint": "5fa3b5a6",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 392 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 392,
    "affected_pages_previous": 167
   },
   "frequency": {
    "instances": 392,
    "pages_affected": 392,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Headings are structured hierarchically (WCAG criterion undetermined)",
   "description": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 392 of 5906 scanned pages (392 instances).",
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r53.",
   "actual_behavior": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 392 of 5906 scanned pages (392 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 12
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 11
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 2.93,
     "pages_with_both": 9
    },
    {
     "technology": "jsDelivr",
     "lift": 1.96,
     "pages_with_both": 42
    },
    {
     "technology": "Bootstrap",
     "lift": 1.96,
     "pages_with_both": 42
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d25f622d",
   "fingerprint": "98ff321a",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 299 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 299,
    "affected_pages_previous": 265
   },
   "frequency": {
    "instances": 305,
    "pages_affected": 299,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Heading levels should only increase by one (WCAG criterion undetermined)",
   "description": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 299 of 5906 scanned pages (305 instances).",
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule heading-order.",
   "actual_behavior": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 299 of 5906 scanned pages (305 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "2772e8cc",
     "html": "<h3 id=\"navStickyHeader\" class=\"bg-white d-inline expand-head-pad\">Report Information</h3>",
     "selectors": [
      "#navStickyHeader"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx",
     "count": 7
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx",
     "count": 6
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-proposed-lcds-contractor-report.aspx",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-c18be945",
   "fingerprint": "8634e2fd",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 276 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 276,
    "affected_pages_previous": 109
   },
   "frequency": {
    "instances": 276,
    "pages_affected": 276,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Scrolling content can be accessed by keyboard (WCAG criterion undetermined)",
   "description": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 276 of 5906 scanned pages (276 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r57.",
   "actual_behavior": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 276 of 5906 scanned pages (276 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare/regulations-guidance/transmittals/{id}-transmittals",
     "count": 3
    },
    {
     "pattern": "/regulations-and-guidance/guidance/transmittals/{id}-transmittals-items/r204ncd",
     "count": 1
    },
    {
     "pattern": "/regulations-and-guidance/guidance/transmittals/{id}-transmittals-items/r1414otn",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "Drupal",
     "lift": 2.28,
     "pages_with_both": 30
    },
    {
     "technology": "Acquia Cloud Platform",
     "lift": 2.28,
     "pages_with_both": 30
    },
    {
     "technology": "Amazon Web Services",
     "lift": 2.28,
     "pages_with_both": 30
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-2cd767ca",
   "fingerprint": "3123e4f3",
   "rule_id": "sia-r78",
   "rule_label": "Table header has scope",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r78",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 200 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 200,
    "affected_pages_previous": 101
   },
   "frequency": {
    "instances": 289,
    "pages_affected": 200,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Table header has scope (WCAG criterion undetermined)",
   "description": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 200 of 5906 scanned pages (289 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r78.",
   "actual_behavior": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 200 of 5906 scanned pages (289 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 12
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 5.14,
     "pages_with_both": 9
    },
    {
     "technology": "jsDelivr",
     "lift": 1.63,
     "pages_with_both": 20
    },
    {
     "technology": "Bootstrap",
     "lift": 1.63,
     "pages_with_both": 20
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-179ad9b3",
   "fingerprint": "0e001fcc",
   "rule_id": "sia-r113",
   "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.8",
   "wcag_name": "Target Size (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.2",
   "wcag_category": "WCAG 2.2 AA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r113",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 156 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 156,
    "affected_pages_previous": 79
   },
   "frequency": {
    "instances": 396,
    "pages_affected": 156,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)",
   "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).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r113 (WCAG 2.5.8).",
   "actual_behavior": "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).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 14
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 3
    },
    {
     "pattern": "/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "reCAPTCHA",
     "lift": 1.8,
     "pages_with_both": 12
    }
   ],
   "impact": {
    "groups": [
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%)."
   }
  },
  {
   "finding_id": "VS-d5d82446",
   "fingerprint": "3627341e",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 145 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 145,
    "affected_pages_previous": 256
   },
   "frequency": {
    "instances": 145,
    "pages_affected": 145,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Document should have one main landmark (WCAG criterion undetermined)",
   "description": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 145 of 5906 scanned pages (145 instances).",
   "remediation_tip": "Each page should have exactly one <main> landmark.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-one-main.",
   "actual_behavior": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 145 of 5906 scanned pages (145 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "3e866d4c",
     "html": "<html>",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0175.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f18df681",
   "fingerprint": "09987718",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 145 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 145,
    "affected_pages_previous": 256
   },
   "frequency": {
    "instances": 2740,
    "pages_affected": 145,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "All page content should be contained by landmarks (WCAG criterion undetermined)",
   "description": "All page content should be contained by landmarks. Detected by axe-core rule region on 145 of 5906 scanned pages (2740 instances).",
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule region.",
   "actual_behavior": "All page content should be contained by landmarks. Detected by axe-core rule region on 145 of 5906 scanned pages (2740 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "dcf3ca26",
     "html": "<tr>\n\t\t<td><img src=\"cms-site-logo.png\"></td>\n\t\t<td style=\"text-align:center;\"><h1>ICD-10-CM/PCS MS-DRG v37.2 Definitions Manual</h1><h1></h1></td>\n\t\t<td></td>\n\t\t<td></td>\n\t\t<td></td>\n\t</tr>",
     "selectors": [
      ".arrows > tbody > tr:nth-child(1)"
     ]
    },
    {
     "fingerprint": "35e6e8ac",
     "html": "<td width=\"31\"><a accesskey=\"p\" id=\"prev_page\" href=\"P0105.html\"><img src=\"bakpg.png\" alt=\"Previous Page [Alt-p]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a></td>",
     "selectors": [
      "td[width=\"31\"]:nth-child(3)"
     ]
    },
    {
     "fingerprint": "c18cdf9b",
     "html": "<td width=\"31\"><a accesskey=\"u\" id=\"up_level\" href=\"P0007.html\"><img src=\"uptop.png\" alt=\"Up a level [Alt-u]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a></td>",
     "selectors": [
      "td[width=\"31\"]:nth-child(4)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0175.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d6097011",
   "fingerprint": "b46c5395",
   "rule_id": "sia-r68",
   "rule_label": "Presentational children of an element are not focusable",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r68",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 119 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 119,
    "affected_pages_previous": 45
   },
   "frequency": {
    "instances": 342,
    "pages_affected": 119,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Presentational children of an element are not focusable (WCAG 1.3.1)",
   "description": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 119 of 5906 scanned pages (342 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r68 (WCAG 1.3.1).",
   "actual_behavior": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 119 of 5906 scanned pages (342 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 7
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx",
     "count": 5
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx",
     "count": 3
    }
   ],
   "associated_technologies": [
    {
     "technology": "jQuery UI",
     "lift": 7.7,
     "pages_with_both": 9
    },
    {
     "technology": "jsDelivr",
     "lift": 1.71,
     "pages_with_both": 14
    },
    {
     "technology": "Bootstrap",
     "lift": 1.71,
     "pages_with_both": 14
    }
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-4408605e",
   "fingerprint": "265d5c76",
   "rule_id": "sia-r46",
   "rule_label": "Element has required aria-owns",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r46",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W34",
    "weeks_observed": 10,
    "affected_pages_current": 54,
    "affected_pages_previous": 20
   },
   "frequency": {
    "instances": 92,
    "pages_affected": 54,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Element has required aria-owns (WCAG 1.3.1)",
   "description": "Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 54 of 5906 scanned pages (92 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r46",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r46 (WCAG 1.3.1).",
   "actual_behavior": "Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 54 of 5906 scanned pages (92 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 25
    }
   ],
   "associated_technologies": [
    {
     "technology": "reCAPTCHA",
     "lift": 2.4,
     "pages_with_both": 7
    },
    {
     "technology": "jsDelivr",
     "lift": 1.96,
     "pages_with_both": 7
    },
    {
     "technology": "Bootstrap",
     "lift": 1.96,
     "pages_with_both": 7
    }
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-0066c67d",
   "fingerprint": "67db3700",
   "rule_id": "empty-heading",
   "rule_label": "Headings should not be empty",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "severity": "Minor",
   "priority": "p3",
   "confidence": "high",
   "rationale": "affects 132 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 132,
    "affected_pages_previous": 247
   },
   "frequency": {
    "instances": 132,
    "pages_affected": 132,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Headings should not be empty (WCAG criterion undetermined)",
   "description": "Headings should not be empty. Detected by axe-core rule empty-heading on 132 of 5906 scanned pages (132 instances).",
   "remediation_tip": "Remove empty headings or give them text. Don't use heading tags for spacing.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule empty-heading.",
   "actual_behavior": "Headings should not be empty. Detected by axe-core rule empty-heading on 132 of 5906 scanned pages (132 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "c6c37699",
     "html": "<h1></h1>",
     "selectors": [
      "h1:nth-child(2)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0175.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-7a0e5645",
   "fingerprint": "15da996e",
   "rule_id": "sia-r4",
   "rule_label": "Document has a valid lang attribute",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "3.1.1",
   "wcag_name": "Language of Page",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r4",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "Moderate severity on 38 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 38,
    "affected_pages_previous": 32
   },
   "frequency": {
    "instances": 38,
    "pages_affected": 38,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Document has a valid lang attribute (WCAG 3.1.1)",
   "description": "Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 38 of 5906 scanned pages (38 instances).",
   "remediation_tip": "Add a valid lang attribute to <html>.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r4",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r4 (WCAG 3.1.1).",
   "actual_behavior": "Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 38 of 5906 scanned pages (38 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version39.0-fullcode-cms/fullcode_cms/P0376.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0010.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-3c632d31",
   "fingerprint": "7d010b8c",
   "rule_id": "sia-r64",
   "rule_label": "Element has required owned roles",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r64",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "Moderate severity on 35 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 35,
    "affected_pages_previous": 30
   },
   "frequency": {
    "instances": 35,
    "pages_affected": 35,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Element has required owned roles (WCAG 1.3.1)",
   "description": "Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 35 of 5906 scanned pages (35 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r64",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r64 (WCAG 1.3.1).",
   "actual_behavior": "Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 35 of 5906 scanned pages (35 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version39.0-fullcode-cms/fullcode_cms/P0376.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0010.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-a24eaa8c",
   "fingerprint": "8d462fe1",
   "rule_id": "sia-r2",
   "rule_label": "Image has accessible name",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r2",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "Moderate severity on 34 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 10,
    "affected_pages_current": 34,
    "affected_pages_previous": 31
   },
   "frequency": {
    "instances": 34,
    "pages_affected": 34,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Image has accessible name (WCAG 1.1.1)",
   "description": "Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 34 of 5906 scanned pages (34 instances).",
   "remediation_tip": "Give every <img> an accessible name (alt text), or alt=\"\" if purely decorative.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r2",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r2 (WCAG 1.1.1).",
   "actual_behavior": "Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 34 of 5906 scanned pages (34 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0012.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version39.0-fullcode-cms/fullcode_cms/P0376.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0010.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-04a9d28c",
   "fingerprint": "02cfba82",
   "rule_id": "presentational-attr",
   "rule_label": "Presentational attribute (use CSS)",
   "engine": "deprecated-html",
   "tool": "deprecated-html",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": null,
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "Moderate severity on 33 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 33,
    "affected_pages_previous": 40
   },
   "frequency": {
    "instances": 974,
    "pages_affected": 33,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Presentational attribute (use CSS) (WCAG criterion undetermined)",
   "description": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 33 of 5906 scanned pages (974 instances).",
   "remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "expected_behavior": "Element passes deprecated-html rule presentational-attr.",
   "actual_behavior": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 33 of 5906 scanned pages (974 instances).",
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "9c73fd4b",
     "html": "<img src=\"bakpg.png\" alt=\"Previous Page [Alt-p]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\">",
     "selectors": [
      "img"
     ]
    },
    {
     "fingerprint": "f9ef1f44",
     "html": "<img src=\"uptop.png\" alt=\"Up a level [Alt-u]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\">",
     "selectors": [
      "img"
     ]
    },
    {
     "fingerprint": "1cc6b28a",
     "html": "<img src=\"fwdpg.png\" alt=\"Next Page [Alt-n]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\">",
     "selectors": [
      "img"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 8
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 4
    },
    {
     "pattern": "/icd10m/version372-fullcode-cms/fullcode_cms/P0106.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-fa44f293",
   "fingerprint": "a01b2a6c",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 30,
    "affected_pages_previous": 17
   },
   "frequency": {
    "instances": 30,
    "pages_affected": 30,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Page should contain a level-one heading (WCAG criterion undetermined)",
   "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).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule page-has-heading-one.",
   "actual_behavior": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 30 of 5906 scanned pages (30 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "3e866d4c",
     "html": "<html>",
     "selectors": [
      "html"
     ]
    },
    {
     "fingerprint": "75add23f",
     "html": "<html lang=\"en\" dir=\"ltr\" class=\" js\" style=\"--vw: 12.8px; --vh: 8px;\">",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P1156.html",
     "count": 1
    },
    {
     "pattern": "/medicaid-chip/community-engagement-support/eligibility-made-easy",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0578.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-388b5438",
   "fingerprint": "e21585c3",
   "rule_id": "sia-r80",
   "rule_label": "Scrollable element is keyboard accessible",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r80",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W34",
    "weeks_observed": 10,
    "affected_pages_current": 29,
    "affected_pages_previous": 8
   },
   "frequency": {
    "instances": 319,
    "pages_affected": 29,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Scrollable element is keyboard accessible (WCAG 1.4.8)",
   "description": "Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 29 of 5906 scanned pages (319 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r80",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r80 (WCAG 1.4.8).",
   "actual_behavior": "Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 29 of 5906 scanned pages (319 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 17
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 7
    },
    {
     "pattern": "/cms20033-reconsideration-request-form",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-0ba8ce9d",
   "fingerprint": "1b1ae391",
   "rule_id": "scope-attr-valid",
   "rule_label": "scope attribute should be used correctly",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 27,
    "affected_pages_previous": 38
   },
   "frequency": {
    "instances": 814,
    "pages_affected": 27,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "scope attribute should be used correctly (WCAG criterion undetermined)",
   "description": "scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 27 of 5906 scanned pages (814 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule scope-attr-valid.",
   "actual_behavior": "scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 27 of 5906 scanned pages (814 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "5251d6cc",
     "html": "<td valign=\"top\" scope=\"row\"><p>Verigene Warfarin Metabolism Nucleic Acid Test</p></td>",
     "selectors": [
      "tr:nth-child(2) > td[scope=\"row\"][valign=\"top\"]"
     ]
    },
    {
     "fingerprint": "57869208",
     "html": "<td valign=\"top\" scope=\"row\"><p>INFINITI Warfarin (3 genetic variants)</p></td>",
     "selectors": [
      "tr:nth-child(3) > td[scope=\"row\"][valign=\"top\"]"
     ]
    },
    {
     "fingerprint": "c9dfe61a",
     "html": "<td valign=\"top\" scope=\"row\"><p>Rapid Genotyping Assay – CYP2C9 &amp; VKORC1</p></td>",
     "selectors": [
      "tr:nth-child(4) > td[scope=\"row\"][valign=\"top\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 14
    },
    {
     "pattern": "/medicare-coverage-database/details/nca-proposed-decision-memo.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-48291402",
   "fingerprint": "50880f5a",
   "rule_id": "sia-r71",
   "rule_label": "iframe element is not empty",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r71",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W34",
    "weeks_observed": 10,
    "affected_pages_current": 16,
    "affected_pages_previous": 8
   },
   "frequency": {
    "instances": 406,
    "pages_affected": 16,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "iframe element is not empty (WCAG 1.4.8)",
   "description": "iframe element is not empty. Detected by Siteimprove Alfa rule sia-r71 on 16 of 5906 scanned pages (406 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r71",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r71 (WCAG 1.4.8).",
   "actual_behavior": "iframe element is not empty. Detected by Siteimprove Alfa rule sia-r71 on 16 of 5906 scanned pages (406 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 8
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 8
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f7e99f4b",
   "fingerprint": "863d1000",
   "rule_id": "sia-r69",
   "rule_label": "Text has sufficient color contrast (Enhanced)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r69",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 7,
    "affected_pages_previous": 5
   },
   "frequency": {
    "instances": 48,
    "pages_affected": 7,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Text has sufficient color contrast (Enhanced) (WCAG 1.4.3)",
   "description": "Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 7 of 5906 scanned pages (48 instances).",
   "remediation_tip": "Increase text contrast to meet WCAG AA (4.5:1, or 3:1 for large text).",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r69",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r69 (WCAG 1.4.3).",
   "actual_behavior": "Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 7 of 5906 scanned pages (48 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 5
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 1
    },
    {
     "pattern": "/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%), Without color perception (4.5%)."
   }
  },
  {
   "finding_id": "VS-3f067795",
   "fingerprint": "f9bf7824",
   "rule_id": "sia-r77",
   "rule_label": "Table cell has header",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r77",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 5,
    "affected_pages_previous": 5
   },
   "frequency": {
    "instances": 159,
    "pages_affected": 5,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Table cell has header (WCAG 1.3.1)",
   "description": "Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 5 of 5906 scanned pages (159 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r77",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r77 (WCAG 1.3.1).",
   "actual_behavior": "Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 5 of 5906 scanned pages (159 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/details/medcac-meeting-details.aspx",
     "count": 1
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 1
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-f2542d87",
   "fingerprint": "9cf75a1e",
   "rule_id": "sia-r79",
   "rule_label": "Duplicate role landmark is labeled",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r79",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 4,
    "affected_pages_previous": 5
   },
   "frequency": {
    "instances": 4,
    "pages_affected": 4,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Duplicate role landmark is labeled (WCAG criterion undetermined)",
   "description": "Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 4 of 5906 scanned pages (4 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r79",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r79.",
   "actual_behavior": "Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 4 of 5906 scanned pages (4 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 4
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-7fbb8b20",
   "fingerprint": "79bb1ee9",
   "rule_id": "sia-r59",
   "rule_label": "Element with orientation is not locked",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r59",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W26",
    "last_observed": "2026-W34",
    "weeks_observed": 9,
    "affected_pages_current": 4,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 4,
    "pages_affected": 4,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Element with orientation is not locked (WCAG criterion undetermined)",
   "description": "Element with orientation is not locked. Detected by Siteimprove Alfa rule sia-r59 on 4 of 5906 scanned pages (4 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r59",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r59.",
   "actual_behavior": "Element with orientation is not locked. Detected by Siteimprove Alfa rule sia-r59 on 4 of 5906 scanned pages (4 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0294.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0022.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P1742.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-e43903a1",
   "fingerprint": "49842005",
   "rule_id": "sia-r75",
   "rule_label": "Form field error is identified and described",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r75",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W26",
    "last_observed": "2026-W34",
    "weeks_observed": 9,
    "affected_pages_current": 4,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 8,
    "pages_affected": 4,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Form field error is identified and described (WCAG criterion undetermined)",
   "description": "Form field error is identified and described. Detected by Siteimprove Alfa rule sia-r75 on 4 of 5906 scanned pages (8 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r75",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r75.",
   "actual_behavior": "Form field error is identified and described. Detected by Siteimprove Alfa rule sia-r75 on 4 of 5906 scanned pages (8 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0294.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0022.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P1742.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-efd91fdd",
   "fingerprint": "12434796",
   "rule_id": "sia-r62",
   "rule_label": "Link in text block is visually distinguishable without color",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r62",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 10,
    "affected_pages_current": 3,
    "affected_pages_previous": 6
   },
   "frequency": {
    "instances": 6,
    "pages_affected": 3,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Link in text block is visually distinguishable without color (WCAG 1.4.1)",
   "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).",
   "remediation_tip": "Make links visually distinguishable from surrounding text (not by color alone).",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r62",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r62 (WCAG 1.4.1).",
   "actual_behavior": "Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 3 of 5906 scanned pages (6 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without color perception (4.5%), Limited vision (2.4%)."
   }
  },
  {
   "finding_id": "VS-400f3a18",
   "fingerprint": "191f610a",
   "rule_id": "sia-r7",
   "rule_label": "Element with lang attribute has correct language",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "3.1.2",
   "wcag_name": "Language of Parts",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r7",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W26",
    "last_observed": "2026-W34",
    "weeks_observed": 4,
    "affected_pages_current": 2,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 18,
    "pages_affected": 2,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Element with lang attribute has correct language (WCAG 3.1.2)",
   "description": "Element with lang attribute has correct language. Detected by Siteimprove Alfa rule sia-r7 on 2 of 5906 scanned pages (18 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r7",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r7 (WCAG 3.1.2).",
   "actual_behavior": "Element with lang attribute has correct language. Detected by Siteimprove Alfa rule sia-r7 on 2 of 5906 scanned pages (18 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-30db094d",
   "fingerprint": "c8a85210",
   "rule_id": "landmark-banner-is-top-level",
   "rule_label": "Banner landmark should not be contained in another landmark",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-banner-is-top-level?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 8,
    "affected_pages_current": 2,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Banner landmark should not be contained in another landmark (WCAG criterion undetermined)",
   "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).",
   "remediation_tip": "Put the banner landmark (<header>) at the top level, not nested inside another landmark.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-banner-is-top-level?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-banner-is-top-level.",
   "actual_behavior": "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).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "469795af",
     "html": "<header class=\"Header\" style=\"position: sticky;\">",
     "selectors": [
      ".Header"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-e05344b9",
   "fingerprint": "9d7a222a",
   "rule_id": "sia-r18",
   "rule_label": "aria attribute is permitted for element role",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r18",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W34",
    "weeks_observed": 7,
    "affected_pages_current": 2,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 7,
    "pages_affected": 2,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "aria attribute is permitted for element role (WCAG criterion undetermined)",
   "description": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 2 of 5906 scanned pages (7 instances).",
   "remediation_tip": "Only use ARIA states/properties that are allowed on this element/role.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r18.",
   "actual_behavior": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 2 of 5906 scanned pages (7 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/priorities/innovation/evaluation-research-reports",
     "count": 1
    },
    {
     "pattern": "/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-3d033717",
   "fingerprint": "1718042b",
   "rule_id": "sia-r70",
   "rule_label": "No obsolete or deprecated elements are used",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r70",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W34",
    "weeks_observed": 10,
    "affected_pages_current": 2,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "No obsolete or deprecated elements are used (WCAG criterion undetermined)",
   "description": "No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 2 of 5906 scanned pages (2 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r70",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r70.",
   "actual_behavior": "No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 2 of 5906 scanned pages (2 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 1
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-8806389c",
   "fingerprint": "ffb2ae06",
   "rule_id": "landmark-unique",
   "rule_label": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W34",
    "weeks_observed": 10,
    "affected_pages_current": 1,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)",
   "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).",
   "remediation_tip": "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.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-unique.",
   "actual_behavior": "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).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/priorities/innovation/evaluation-research-reports"
   ],
   "html_fragments": [
    {
     "fingerprint": "3f5c6bbd",
     "html": "<nav class=\"ds-c-pagination\" aria-labelledby=\"pagination-heading--9\">",
     "selectors": [
      "nav[aria-labelledby=\"pagination-heading--9\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/priorities/innovation/evaluation-research-reports",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-4c341c77",
   "fingerprint": "aada626a",
   "rule_id": "sia-r85",
   "rule_label": "Keyboard trap does not exist",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r85",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W34",
    "weeks_observed": 10,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 3,
    "pages_affected": 1,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Keyboard trap does not exist (WCAG criterion undetermined)",
   "description": "Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 1 of 5906 scanned pages (3 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r85",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r85.",
   "actual_behavior": "Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 1 of 5906 scanned pages (3 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=16"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/medcac-meeting.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-aa242c2d",
   "fingerprint": "9bf7674d",
   "rule_id": "sia-r87",
   "rule_label": "First focusable element is link to main content",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r87",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W34",
    "weeks_observed": 7,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "First focusable element is link to main content (WCAG criterion undetermined)",
   "description": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 1 of 5906 scanned pages (1 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r87.",
   "actual_behavior": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 1 of 5906 scanned pages (1 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-91d2294a",
   "fingerprint": "648c7ef8",
   "rule_id": "font-element",
   "rule_label": "Obsolete <font> element (use CSS)",
   "engine": "deprecated-html",
   "tool": "deprecated-html",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": null,
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 10,
    "affected_pages_current": 1,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 104,
    "pages_affected": 1,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Obsolete <font> element (use CSS) (WCAG criterion undetermined)",
   "description": "Obsolete <font> element (use CSS). Detected by deprecated-html rule font-element on 1 of 5906 scanned pages (104 instances).",
   "remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "expected_behavior": "Element passes deprecated-html rule font-element.",
   "actual_behavior": "Obsolete <font> element (use CSS). Detected by deprecated-html rule font-element on 1 of 5906 scanned pages (104 instances).",
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?ncaId=315"
   ],
   "html_fragments": [
    {
     "fingerprint": "73af643b",
     "html": "<font color=\"FF0000\"><u>with the intention of providing</u> <s>in the</s></font>",
     "selectors": [
      "font"
     ]
    },
    {
     "fingerprint": "0cbd8e8d",
     "html": "<font color=\"FF0000\">mode</font>",
     "selectors": [
      "font"
     ]
    },
    {
     "fingerprint": "0b25b4a8",
     "html": "<font color=\"FF0000\"> <u>therapy</u></font>",
     "selectors": [
      "font"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-public-comments.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d69fc059",
   "fingerprint": "c827d812",
   "rule_id": "empty-table-header",
   "rule_label": "Table header text should not be empty",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "severity": "Minor",
   "priority": "p4",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W34",
    "weeks_observed": 11,
    "affected_pages_current": 8,
    "affected_pages_previous": 28
   },
   "frequency": {
    "instances": 12,
    "pages_affected": 8,
    "total_pages_scanned": 5906
   },
   "on_key_page": false,
   "summary": "Table header text should not be empty (WCAG criterion undetermined)",
   "description": "Table header text should not be empty. Detected by axe-core rule empty-table-header on 8 of 5906 scanned pages (12 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule empty-table-header.",
   "actual_behavior": "Table header text should not be empty. Detected by axe-core rule empty-table-header on 8 of 5906 scanned pages (12 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "43aeeac2",
     "html": "<th scope=\"col\">&nbsp;</th>",
     "selectors": [
      "table[border=\"1\"]:nth-child(5) > tbody > tr:nth-child(1) > th:nth-child(1)",
      "table[border=\"1\"]:nth-child(7) > tbody > tr:nth-child(1) > th:nth-child(1)"
     ]
    },
    {
     "fingerprint": "78e6428f",
     "html": "<th><p></p></th>",
     "selectors": [
      ".MsoNormalTable[width=\"80%\"][border=\"1\"]:nth-child(589) > tbody > tr[bgcolor=\"#BFBFBF\"] > th:nth-child(2)",
      ".MsoNormalTable[width=\"80%\"][border=\"1\"]:nth-child(589) > tbody > tr[bgcolor=\"#BFBFBF\"] > th:nth-child(3)",
      ".MsoNormalTable[width=\"80%\"][border=\"1\"]:nth-child(589) > tbody > tr[bgcolor=\"#BFBFBF\"] > th:nth-child(5)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/details/medcac-meeting-details.aspx",
     "count": 1
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  }
 ],
 "clusters": {
  "by_wcag_criterion": [
   {
    "cluster_id": "140fec0b",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.8",
    "wcag_name": "Visual Presentation",
    "wcag_level": "AAA",
    "findings": [
     "VS-2208081b",
     "VS-fbf54eba",
     "VS-388b5438",
     "VS-48291402"
    ],
    "total_pages_affected": 1296,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "b393058c",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.5",
    "wcag_name": "Target Size (Enhanced)",
    "wcag_level": "AAA",
    "findings": [
     "VS-cb53cc4d"
    ],
    "total_pages_affected": 832,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "75cf28e4",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-7118fead"
    ],
    "total_pages_affected": 793,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "423bd52e",
    "type": "wcag_criterion",
    "wcag_sc": "1.3.1",
    "wcag_name": "Info and Relationships",
    "wcag_level": "A",
    "findings": [
     "VS-a0bdbdf6",
     "VS-6175596b",
     "VS-07ba3b17",
     "VS-d6097011",
     "VS-4408605e",
     "VS-3c632d31",
     "VS-3f067795"
    ],
    "total_pages_affected": 578,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "77bde739",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.1",
    "wcag_name": "Use of Color",
    "wcag_level": "A",
    "findings": [
     "VS-8ade3360",
     "VS-efd91fdd"
    ],
    "total_pages_affected": 536,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "fd9ed1c5",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.3",
    "wcag_name": "Label in Name",
    "wcag_level": "A",
    "findings": [
     "VS-f7dba940"
    ],
    "total_pages_affected": 426,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "71f257a8",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.6",
    "wcag_name": "Contrast (Enhanced)",
    "wcag_level": "AAA",
    "findings": [
     "VS-646b1e0b"
    ],
    "total_pages_affected": 426,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "b05da4e9",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-f054f4a4"
    ],
    "total_pages_affected": 392,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "e08c8d69",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-d25f622d"
    ],
    "total_pages_affected": 299,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "36ac08de",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-c18be945"
    ],
    "total_pages_affected": 276,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "4b43ba23",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-2cd767ca"
    ],
    "total_pages_affected": 200,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "8af1f05d",
    "type": "wcag_criterion",
    "wcag_sc": "3.1.1",
    "wcag_name": "Language of Page",
    "wcag_level": "A",
    "findings": [
     "VS-c126b6a6",
     "VS-7a0e5645"
    ],
    "total_pages_affected": 183,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "945c7205",
    "type": "wcag_criterion",
    "wcag_sc": "1.1.1",
    "wcag_name": "Non-text Content",
    "wcag_level": "A",
    "findings": [
     "VS-9074b4dd",
     "VS-f7280372",
     "VS-a24eaa8c"
    ],
    "total_pages_affected": 163,
    "max_severity": "Critical"
   },
   {
    "cluster_id": "24c4a455",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.8",
    "wcag_name": "Target Size (Minimum)",
    "wcag_level": "AA",
    "findings": [
     "VS-179ad9b3"
    ],
    "total_pages_affected": 156,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "91fd3b4c",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-d5d82446"
    ],
    "total_pages_affected": 145,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "0649d9b9",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-f18df681"
    ],
    "total_pages_affected": 145,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "7774d667",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-0066c67d"
    ],
    "total_pages_affected": 132,
    "max_severity": "Minor"
   },
   {
    "cluster_id": "05fbc261",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-bd13f00a"
    ],
    "total_pages_affected": 39,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "d68f5631",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.3",
    "wcag_name": "Contrast (Minimum)",
    "wcag_level": "AA",
    "findings": [
     "VS-be8d563e",
     "VS-f7e99f4b"
    ],
    "total_pages_affected": 38,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "66669a92",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-04a9d28c"
    ],
    "total_pages_affected": 33,
    "max_severity": "Moderate"
   }
  ],
  "by_url_pattern": [
   {
    "cluster_id": "7d8c5ddc",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/view/lcd.aspx",
    "findings": [
     "VS-be8d563e",
     "VS-dd1c019f",
     "VS-04a9d28c",
     "VS-388b5438",
     "VS-48291402",
     "VS-f7e99f4b",
     "VS-efd91fdd",
     "VS-400f3a18"
    ],
    "total_pages": 58
   },
   {
    "cluster_id": "64453d83",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/view/article.aspx",
    "findings": [
     "VS-4408605e",
     "VS-388b5438",
     "VS-48291402",
     "VS-3f067795",
     "VS-efd91fdd"
    ],
    "total_pages": 42
   },
   {
    "cluster_id": "034daebc",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
    "findings": [
     "VS-6175596b",
     "VS-e9fe47ac",
     "VS-c613c153",
     "VS-0ba8ce9d",
     "VS-f2542d87",
     "VS-3d033717",
     "VS-d69fc059"
    ],
    "total_pages": 31
   },
   {
    "cluster_id": "8c161bd8",
    "type": "url_pattern",
    "pattern": "/data-research/statistics-trends-reports/comprehensive-end-stage-renal-disease-esrd-care-cec-model-public-use-files",
    "findings": [
     "VS-30db094d",
     "VS-e05344b9",
     "VS-aa242c2d"
    ],
    "total_pages": 4
   },
   {
    "cluster_id": "c3b53ec9",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/view/ncd.aspx",
    "findings": [
     "VS-3f067795",
     "VS-3d033717"
    ],
    "total_pages": 2
   },
   {
    "cluster_id": "33bcf500",
    "type": "url_pattern",
    "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0294.html",
    "findings": [
     "VS-7fbb8b20",
     "VS-e43903a1"
    ],
    "total_pages": 2
   },
   {
    "cluster_id": "9ad66710",
    "type": "url_pattern",
    "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P0022.html",
    "findings": [
     "VS-7fbb8b20",
     "VS-e43903a1"
    ],
    "total_pages": 2
   },
   {
    "cluster_id": "ab2875f2",
    "type": "url_pattern",
    "pattern": "/icd10m/version33-fullcode-cms/fullcode_cms/P1742.html",
    "findings": [
     "VS-7fbb8b20",
     "VS-e43903a1"
    ],
    "total_pages": 2
   },
   {
    "cluster_id": "efe99ca7",
    "type": "url_pattern",
    "pattern": "/priorities/innovation/evaluation-research-reports",
    "findings": [
     "VS-e05344b9",
     "VS-8806389c"
    ],
    "total_pages": 2
   }
  ]
 },
 "technology_findings": [
  {
   "technology": "jQuery UI",
   "finding": "axe:heading-order",
   "lift": 9.55,
   "pages_with_both": 23,
   "technology_pages": 23,
   "interpretation": "Pages using jQuery UI are 9.55× more likely to have finding axe:heading-order."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r68",
   "lift": 7.7,
   "pages_with_both": 9,
   "technology_pages": 23,
   "interpretation": "Pages using jQuery UI are 7.7× more likely to have finding alfa:sia-r68."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r78",
   "lift": 5.14,
   "pages_with_both": 9,
   "technology_pages": 23,
   "interpretation": "Pages using jQuery UI are 5.14× more likely to have finding alfa:sia-r78."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r53",
   "lift": 2.93,
   "pages_with_both": 9,
   "technology_pages": 23,
   "interpretation": "Pages using jQuery UI are 2.93× more likely to have finding alfa:sia-r53."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r66",
   "lift": 2.57,
   "pages_with_both": 9,
   "technology_pages": 23,
   "interpretation": "Pages using jQuery UI are 2.57× more likely to have finding alfa:sia-r66."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r74",
   "lift": 2.57,
   "pages_with_both": 9,
   "technology_pages": 23,
   "interpretation": "Pages using jQuery UI are 2.57× more likely to have finding alfa:sia-r74."
  },
  {
   "technology": "jQuery UI",
   "finding": "alfa:sia-r14",
   "lift": 2.57,
   "pages_with_both": 9,
   "technology_pages": 23,
   "interpretation": "Pages using jQuery UI are 2.57× more likely to have finding alfa:sia-r14."
  },
  {
   "technology": "reCAPTCHA",
   "finding": "alfa:sia-r46",
   "lift": 2.4,
   "pages_with_both": 7,
   "technology_pages": 131,
   "interpretation": "Pages using reCAPTCHA are 2.4× more likely to have finding alfa:sia-r46."
  },
  {
   "technology": "reCAPTCHA",
   "finding": "axe:link-in-text-block",
   "lift": 2.31,
   "pages_with_both": 47,
   "technology_pages": 131,
   "interpretation": "Pages using reCAPTCHA are 2.31× more likely to have finding axe:link-in-text-block."
  },
  {
   "technology": "Drupal",
   "finding": "alfa:sia-r57",
   "lift": 2.28,
   "pages_with_both": 30,
   "technology_pages": 138,
   "interpretation": "Pages using Drupal are 2.28× more likely to have finding alfa:sia-r57."
  },
  {
   "technology": "Acquia Cloud Platform",
   "finding": "alfa:sia-r57",
   "lift": 2.28,
   "pages_with_both": 30,
   "technology_pages": 138,
   "interpretation": "Pages using Acquia Cloud Platform are 2.28× more likely to have finding alfa:sia-r57."
  },
  {
   "technology": "Amazon Web Services",
   "finding": "alfa:sia-r57",
   "lift": 2.28,
   "pages_with_both": 30,
   "technology_pages": 138,
   "interpretation": "Pages using Amazon Web Services are 2.28× more likely to have finding alfa:sia-r57."
  },
  {
   "technology": "PHP",
   "finding": "alfa:sia-r57",
   "lift": 2.28,
   "pages_with_both": 30,
   "technology_pages": 138,
   "interpretation": "Pages using PHP are 2.28× more likely to have finding alfa:sia-r57."
  },
  {
   "technology": "Qualtrics",
   "finding": "alfa:sia-r57",
   "lift": 2.28,
   "pages_with_both": 30,
   "technology_pages": 138,
   "interpretation": "Pages using Qualtrics are 2.28× more likely to have finding alfa:sia-r57."
  },
  {
   "technology": "Tealium",
   "finding": "alfa:sia-r57",
   "lift": 2.28,
   "pages_with_both": 30,
   "technology_pages": 138,
   "interpretation": "Pages using Tealium are 2.28× more likely to have finding alfa:sia-r57."
  }
 ],
 "third_party_findings": [
  {
   "origin": "jsdelivr.net",
   "pages_served": 411,
   "pages_with_findings": 307,
   "finding_co_occurrence_rate": 0.75,
   "median_bytes": 8320,
   "example_pages": [
    "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://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39042&lcdStatus=all&sortBy=title&stateRegion=all&ver=7",
    "https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38278&lcdStatus=all&sortBy=title&ver=21"
   ]
  },
  {
   "origin": "gstatic.com",
   "pages_served": 337,
   "pages_with_findings": 236,
   "finding_co_occurrence_rate": 0.7,
   "median_bytes": 1419206,
   "example_pages": [
    "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://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39042&lcdStatus=all&sortBy=title&stateRegion=all&ver=7",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59549&ver=5"
   ]
  },
  {
   "origin": "google.com",
   "pages_served": 337,
   "pages_with_findings": 236,
   "finding_co_occurrence_rate": 0.7,
   "median_bytes": 42125,
   "example_pages": [
    "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://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39042&lcdStatus=all&sortBy=title&stateRegion=all&ver=7",
    "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59549&ver=5"
   ]
  },
  {
   "origin": "qualtrics.com",
   "pages_served": 378,
   "pages_with_findings": 126,
   "finding_co_occurrence_rate": 0.33,
   "median_bytes": 863878,
   "example_pages": [
    "https://cms.gov/regulations-and-guidance/guidance/transmittals/2018-transmittals-items/r4056cp",
    "http://cms.gov/marketplace/agents-brokers/shop-resources",
    "http://www.cms.gov/regulations-and-guidance/guidance/transmittals/2015-transmittals-items/r1482otn"
   ]
  },
  {
   "origin": "googletagmanager.com",
   "pages_served": 378,
   "pages_with_findings": 126,
   "finding_co_occurrence_rate": 0.33,
   "median_bytes": 156803,
   "example_pages": [
    "https://cms.gov/regulations-and-guidance/guidance/transmittals/2018-transmittals-items/r4056cp",
    "http://cms.gov/marketplace/agents-brokers/shop-resources",
    "http://www.cms.gov/regulations-and-guidance/guidance/transmittals/2015-transmittals-items/r1482otn"
   ]
  }
 ],
 "metadata": {
  "generator": "vital-core",
  "schema_version": "0.1",
  "total_pages_scanned": 5906,
  "notes": [
   "Healthy pages (no known issues) are intentionally excluded.",
   "Representative examples are used instead of complete occurrence lists.",
   "Fingerprints are stable hashes for tracking recurring patterns over time.",
   "Fragment fingerprints normalize volatile attributes (id, style, data-*) before hashing.",
   "Technology lift values indicate association, not causation.",
   "Confidence reflects sample size: high=10+ affected pages, medium=3-9, low=1-2."
  ]
 }
}