# Accessibility bug reports — www.cms.gov, week 2026-W35

55 issue type(s) from 7026 pages scanned. Generated 2026-08-30 by [vital-scans](https://github.com/mgifford/vital-core), following [accessibility bug-reporting best practices](https://mgifford.github.io/ACCESSIBILITY.md/examples/ACCESSIBILITY_BUG_REPORTING_BEST_PRACTICES.html).

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

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

**Bug ID:** `VS-7ae53b8a`  
**Pattern ID:** `VS-179ad9b3`  
**URL:** http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57497&articleStatus=all&bc=3&sortBy=title&ver=14  
**XPath / selector:** `<a href="#h3HcpcsCodesHeader" data-href="h3HcpcsCodesHeader" class="nav-link toc-link no-link log-click" title="Jump to CPT/HCPCS Codes">`  
**WCAG SC:** 2.5.8 — Target Size (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r113` ([reference](https://alfa.siteimprove.com/rules/sia-r113))  
**Severity:** Moderate  
**Frequency:** 663 instances; 196 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### Description
Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 196 of 7026 scanned pages (663 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57497&articleStatus=all&bc=3&sortBy=title&ver=14.
2. Locate the element: <a href="#h3HcpcsCodesHeader" data-href="h3HcpcsCodesHeader" class="nav-link toc-link no-link log-click" title="Jump to CPT/HCPCS Codes">
3. Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum).

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

### Affected pages
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57497&articleStatus=all&bc=3&sortBy=title&ver=14
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=305&ncdver=2&sortBy=title
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57915&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53084&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=18
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52468&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=18
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57599&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=11
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57905&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57115&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=10
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52850&articleStatus=all&bc=3&sortBy=title&ver=55
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=37790&ver=20
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57068&articleStatus=all&bc=3&sortBy=title&ver=17
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53480&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=14
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0645.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34536&ver=36
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56531&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=19
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59416&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0321.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0143.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=40301&ver=7
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1782.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57528&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=5
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56767&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=25
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0253.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0231.html
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59636&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=28

…and more — 196 pages total ([download CSV](csv/alfa__sia-r113.csv)).

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

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

### Example pages
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57497&articleStatus=all&bc=3&sortBy=title&ver=14
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=305&ncdver=2&sortBy=title
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57915&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10

---

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

**Bug ID:** `VS-c8c76ea1`  
**Pattern ID:** `VS-f7dba940`  
**URL:** http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25  
**XPath / selector:** `<a id="aBasketManuButton" class="basket-icon log-click " title="View documents in your Basket" data-page-action="Clicked the Basket navbar link.">`  
**WCAG SC:** 2.5.3 — Label in Name (Level A)  
**Rule:** Siteimprove Alfa — `sia-r14` ([reference](https://alfa.siteimprove.com/rules/sia-r14))  
**Severity:** Moderate  
**Frequency:** 1246 instances; 478 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### Description
Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 478 of 7026 scanned pages (1246 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25.
2. Locate the element: <a id="aBasketManuButton" class="basket-icon log-click " title="View documents in your Basket" data-page-action="Clicked the Basket navbar link.">
3. Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name.

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

### Affected pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33738&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58450&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56401&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60450&articleStatus=all&bc=3&sortBy=title&ver=2
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57497&articleStatus=all&bc=3&sortBy=title&ver=14
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=305&ncdver=2&sortBy=title
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34548&lcdStatus=all&sortBy=title&ver=43
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57915&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53084&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=18
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=302&ncdver=3&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=35457&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37824&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60356&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38443&lcdStatus=all&sortBy=title&stateRegion=all&ver=11
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52468&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=18
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52463&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=28
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=69&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57599&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52477&ver=14
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=259&sortBy=status&status=all
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57905&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57115&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=10

…and more — 478 pages total ([download CSV](csv/alfa__sia-r14.csv)).

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

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

### Example pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all

---

## Images must have alternative text (WCAG 1.1.1)

**Bug ID:** `VS-d4120ac4`  
**Pattern ID:** `VS-9074b4dd`  
**URL:** http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0019.html  
**XPath / selector:** `img[src$="cms-site-logo.png"]`  
**WCAG SC:** 1.1.1 — Non-text Content (Level A)  
**Rule:** axe-core — `image-alt` ([reference](https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 243 instances; 235 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (11 weeks)

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

### Description
Images must have alternative text. Detected by axe-core rule image-alt on 235 of 7026 scanned pages (243 instances).

### Steps to reproduce
1. Open http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0019.html.
2. Locate the element: img[src$="cms-site-logo.png"]
3. Confirm the axe-core finding for rule image-alt against WCAG 1.1.1 Non-text Content.

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

### Affected pages
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0019.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0375.html
- http://www.cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0027.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1154.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0048.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0455.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0209.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0070.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0305.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1959.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0619.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0930.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0095.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0306.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0488.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0015.html
- http://www.cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0036.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0261.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0321.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0636.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0143.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0166.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0026.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0253.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0231.html

…and more — 235 pages total ([download CSV](csv/axe-core__image-alt.csv)).

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

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

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

### Example pages
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0019.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0375.html
- http://www.cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0027.html

---

## Image has accessible name (WCAG 1.1.1)

**Bug ID:** `VS-85777c99`  
**Pattern ID:** `VS-a24eaa8c`  
**URL:** https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0321.html  
**XPath / selector:** `<img src="cms-site-logo.png">`  
**WCAG SC:** 1.1.1 — Non-text Content (Level A)  
**Rule:** Siteimprove Alfa — `sia-r2` ([reference](https://alfa.siteimprove.com/rules/sia-r2))  
**Severity:** Moderate  
**Frequency:** 61 instances; 61 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (11 weeks)

### Description
Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 61 of 7026 scanned pages (61 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0321.html.
2. Locate the element: <img src="cms-site-logo.png">
3. Confirm the Siteimprove Alfa finding for rule sia-r2 against WCAG 1.1.1 Non-text Content.

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

### Affected pages
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0321.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0143.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0253.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0231.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0365.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0467.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0919.html
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0227.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0053.html
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0012.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0112.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0199.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1083.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0247.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0214.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0431.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0244.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0236.html
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=313&proposed=N
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0750.html
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0029.html
- http://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0091.html
- http://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0301.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0064.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0058.html

…and more — 61 pages total ([download CSV](csv/alfa__sia-r2.csv)).

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

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

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

### Example pages
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0321.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0143.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0253.html

---

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

**Bug ID:** `VS-2c223295`  
**Pattern ID:** `VS-a0bdbdf6`  
**URL:** https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30  
**XPath / selector:** `#lblCmsNationalCoveragePolicy > ul:nth-child(2)`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `list` ([reference](https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 2075 instances; 390 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### HTML snippet
```html
<ul>30.2.2 Active Treatment in Psychiatric Hospitals</ul>
```

### Description
<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 390 of 7026 scanned pages (2075 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30.
2. Locate the element: #lblCmsNationalCoveragePolicy > ul:nth-child(2)
3. Confirm the axe-core finding for rule list against WCAG 1.3.1 Info and Relationships.

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

### Affected pages
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56796&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=31
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52855&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=30
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=319&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=247
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33573&lcdStatus=all&sortBy=title&ver=25
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57849&articleStatus=all&bc=3&sortBy=title&ver=17
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=289
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34084&lcdStatus=all&sortBy=title&stateRegion=all&ver=23
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=40341&lcdStatus=all&sortBy=title&stateRegion=all&ver=6
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57069&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=25
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33560&ver=36
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57905&articleStatus=all&bc=3&sortBy=title&ver=26
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56726&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=42
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58731&articleStatus=all&bc=3&sortBy=title&ver=16
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37561&lcdStatus=all&sortBy=title&ver=15
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37502&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=265&proposed=Y
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34520&lcdStatus=all&sortBy=title&ver=32
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=40324&lcdStatus=all&sortBy=title&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36526&lcdStatus=all&sortBy=title&ver=27
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33578&lcdStatus=all&sortBy=title&ver=17
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AgAAAQAAEAAA&DocType=NCA%7CCAL&fromdb=true&NCAId=289&NcaName=Magnetic+Resonance+Imaging+%28MRI%29&proposed=N&ver=14&year=2009
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34056&lcdStatus=all&sortBy=title&ver=27
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33906&ver=57

…and more — 390 pages total ([download CSV](csv/axe-core__list.csv)).

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

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

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

### Example pages
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56796&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=31
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52855&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=30

---

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

**Bug ID:** `VS-0e838752`  
**Pattern ID:** `VS-6175596b`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=319&proposed=N&sortBy=status&status=all  
**XPath / selector:** `tr[valign="top"]:nth-child(2) > td:nth-child(2) > li:nth-child(1)`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `listitem` ([reference](https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 293 instances; 13 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### HTML snippet
```html
<li> Adults 45 years or older
	  </li>
```

### Description
<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 13 of 7026 scanned pages (293 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=319&proposed=N&sortBy=status&status=all.
2. Locate the element: tr[valign="top"]:nth-child(2) > td:nth-child(2) > li:nth-child(1)
3. Confirm the axe-core finding for rule listitem against WCAG 1.3.1 Info and Relationships.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=319&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=247
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=289
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AgAAAQAAEAAA&DocType=NCA%7CCAL&fromdb=true&NCAId=289&NcaName=Magnetic+Resonance+Imaging+%28MRI%29&proposed=N&ver=14&year=2009
- https://cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=82&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?areaId=all&bc=1&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=34183&sortBy=relevance&ver=20
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=316&proposed=N
- https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/TEP-Currently-Accepting-Nominations.html
- https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?ncaid=288
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=313&proposed=N
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AAgAAAAACAAA&ncaid=273&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?areaId=all&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&fromTracking=Y&keyword=permanent+cardiac&keywordType=starts&ncaid=246&proposed=N&sortBy=relevance
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=317&proposed=N

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

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=319&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=247
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=289

---

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

**Bug ID:** `VS-a681180e`  
**Pattern ID:** `VS-07ba3b17`  
**URL:** http://www.cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_revision_date&page=5&sort=asc  
**XPath / selector:** `.MsoTableGrid`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `td-headers-attr` ([reference](https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 3 instances; 3 of 7026 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W35 (11 weeks)

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

### Description
Table cell headers attributes must refer to other <th> elements in the same tabl. Detected by axe-core rule td-headers-attr on 3 of 7026 scanned pages (3 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_revision_date&page=5&sort=asc.
2. Locate the element: .MsoTableGrid
3. Confirm the axe-core finding for rule td-headers-attr against WCAG 1.3.1 Info and Relationships.

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

### Affected pages
- http://www.cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_revision_date&page=5&sort=asc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&sort=asc
- http://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=0&sort=asc

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

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

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

### Example pages
- http://www.cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_revision_date&page=5&sort=asc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&sort=asc
- http://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=0&sort=asc

---

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

**Bug ID:** `VS-45a585ef`  
**Pattern ID:** `VS-d6097011`  
**URL:** https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30  
**XPath / selector:** `<ul>`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r68` ([reference](https://alfa.siteimprove.com/rules/sia-r68))  
**Severity:** Moderate  
**Frequency:** 523 instances; 134 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### Description
Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 134 of 7026 scanned pages (523 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30.
2. Locate the element: <ul>
3. Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships.

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

### Affected pages
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=35457&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=69&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=259&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=106
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=265&proposed=Y
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=40324&lcdStatus=all&sortBy=title&ver=6
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33578&lcdStatus=all&sortBy=title&ver=17
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38549&lcdStatus=all&sortBy=title&ver=17
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33631&lcdStatus=all&sortBy=title&stateRegion=all&ver=52
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=33967&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=36377&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=35456&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39853&lcdStatus=all&sortBy=title
- http://www.cms.gov/newsroom/fact-sheets/fiscal-year-fy-2018-medicare-hospital-inpatient-prospective-payment-system-ipps-and-long-term-acute-0
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=35125&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=39905&lcdStatus=all&sortBy=title&stateRegion=all
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33396&lcdStatus=all&sortBy=title&stateRegion=all&ver=11
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0365.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33563&lcdStatus=all&sortBy=title&ver=26
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38441&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57926&ver=19
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39624&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=211

…and more — 134 pages total ([download CSV](csv/alfa__sia-r68.csv)).

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

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

### Example pages
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=35457&lcdStatus=all&sortBy=title

---

## Element has required owned roles (WCAG 1.3.1)

**Bug ID:** `VS-43433388`  
**Pattern ID:** `VS-3c632d31`  
**URL:** https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0321.html  
**XPath / selector:** `<h1>`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r64` ([reference](https://alfa.siteimprove.com/rules/sia-r64))  
**Severity:** Moderate  
**Frequency:** 65 instances; 65 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### Description
Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 65 of 7026 scanned pages (65 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0321.html.
2. Locate the element: <h1>
3. Confirm the Siteimprove Alfa finding for rule sia-r64 against WCAG 1.3.1 Info and Relationships.

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

### Affected pages
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0321.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0143.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0253.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0231.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0365.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0467.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0919.html
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0227.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0053.html
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0012.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0112.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0199.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1083.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0247.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0214.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0431.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0244.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0236.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&ver=17
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0750.html
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0029.html
- http://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0091.html
- http://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0301.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0064.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0058.html

…and more — 65 pages total ([download CSV](csv/alfa__sia-r64.csv)).

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

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

### Example pages
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0321.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0143.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0253.html

---

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

**Bug ID:** `VS-b0fa1365`  
**Pattern ID:** `VS-4408605e`  
**URL:** http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57497&articleStatus=all&bc=3&sortBy=title&ver=14  
**XPath / selector:** `<th scope="col">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r46` ([reference](https://alfa.siteimprove.com/rules/sia-r46))  
**Severity:** Moderate  
**Frequency:** 64 instances; 39 of 7026 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W35 (11 weeks)

### Description
Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 39 of 7026 scanned pages (64 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57497&articleStatus=all&bc=3&sortBy=title&ver=14.
2. Locate the element: <th scope="col">
3. Confirm the Siteimprove Alfa finding for rule sia-r46 against WCAG 1.3.1 Info and Relationships.

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

### Affected pages
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57497&articleStatus=all&bc=3&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57115&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=10
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57068&articleStatus=all&bc=3&sortBy=title&ver=17
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57206&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57752&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58264&articleStatus=all&bc=3&sortBy=title&ver=8
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55584&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=19
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56491&ver=25
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=53049&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=96
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58364&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=32
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57372&ver=13
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56914&ver=16
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56952&ver=50
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59487&ver=15
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57311&ver=35
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55229&ver=40
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58567&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=29
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57329&ver=17
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57055&articleStatus=all&bc=3&sortBy=title&ver=21
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59915&articleStatus=all&bc=3&sortBy=title&ver=23
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56773&articleStatus=all&bc=3&sortBy=title&ver=25
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56454&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55229&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=40
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57450&ver=14
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57330&ver=13

…and more — 39 pages total ([download CSV](csv/alfa__sia-r46.csv)).

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

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

### Example pages
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57497&articleStatus=all&bc=3&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57115&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=10
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57068&articleStatus=all&bc=3&sortBy=title&ver=17

---

## Table cell has header (WCAG 1.3.1)

**Bug ID:** `VS-1e90d2bd`  
**Pattern ID:** `VS-3f067795`  
**URL:** http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=190&ncdver=3&sortBy=title  
**XPath / selector:** `<td width="25%" scope="row">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r77` ([reference](https://alfa.siteimprove.com/rules/sia-r77))  
**Severity:** Moderate  
**Frequency:** 345 instances; 6 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### Description
Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 6 of 7026 scanned pages (345 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=190&ncdver=3&sortBy=title.
2. Locate the element: <td width="25%" scope="row">
3. Confirm the Siteimprove Alfa finding for rule sia-r77 against WCAG 1.3.1 Info and Relationships.

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

### Affected pages
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=190&ncdver=3&sortBy=title
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=304&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&proposed=N&TimeFrame=7
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=313&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=8
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=33&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=317&proposed=N

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

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

### Example pages
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=190&ncdver=3&sortBy=title
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=304&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&proposed=N&TimeFrame=7
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=313&proposed=N

---

## Element in required WAI-ARIA context role (WCAG 1.3.1)

**Bug ID:** `VS-1cc8f861`  
**Pattern ID:** `VS-0ddc2ac6`  
**URL:** https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/TEP-Currently-Accepting-Nominations.html  
**XPath / selector:** `<li class="usa-nav__primary-item">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r42` ([reference](https://alfa.siteimprove.com/rules/sia-r42))  
**Severity:** Moderate  
**Frequency:** 10 instances; 1 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (6 weeks)

### Description
Element in required WAI-ARIA context role. Detected by Siteimprove Alfa rule sia-r42 on 1 of 7026 scanned pages (10 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/TEP-Currently-Accepting-Nominations.html.
2. Locate the element: <li class="usa-nav__primary-item">
3. Confirm the Siteimprove Alfa finding for rule sia-r42 against WCAG 1.3.1 Info and Relationships.

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

### Affected pages
- https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/TEP-Currently-Accepting-Nominations.html

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

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r42

---

## Info and Relationships (WCAG 1.3.1)

**Bug ID:** `VS-9cf220ac`  
**Pattern ID:** `VS-33b49e3b`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=317&proposed=N  
**XPath / selector:** `<th nowrap="" style="background:#4C94D8;mso-background-themecolor: text2;mso-background-themetint:128;padding:0in 5.4pt 0in 5.4pt;height:15.0pt">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r76` ([reference](https://alfa.siteimprove.com/rules/sia-r76))  
**Severity:** Moderate  
**Frequency:** 5 instances; 1 of 7026 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W35 (3 weeks)

### Description
Info and Relationships. Detected by Siteimprove Alfa rule sia-r76 on 1 of 7026 scanned pages (5 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=317&proposed=N.
2. Locate the element: <th nowrap="" style="background:#4C94D8;mso-background-themecolor: text2;mso-background-themetint:128;padding:0in 5.4pt 0in 5.4pt;height:15.0pt">
3. Confirm the Siteimprove Alfa finding for rule sia-r76 against WCAG 1.3.1 Info and Relationships.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=317&proposed=N

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

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r76

---

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

**Bug ID:** `VS-49202c18`  
**Pattern ID:** `VS-9207ed51`  
**URL:** http://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=0&sort=asc  
**XPath / selector:** `@headers="view-field-dyna-pe-number-table-column"`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r45` ([reference](https://alfa.siteimprove.com/rules/sia-r45))  
**Severity:** Moderate  
**Frequency:** 149 instances; 1 of 7026 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W35 (7 weeks)

### Description
aria-hidden element is not exposed to assistive technology. Detected by Siteimprove Alfa rule sia-r45 on 1 of 7026 scanned pages (149 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=0&sort=asc.
2. Locate the element: @headers="view-field-dyna-pe-number-table-column"
3. Confirm the Siteimprove Alfa finding for rule sia-r45 against WCAG 1.3.1 Info and Relationships.

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

### Affected pages
- http://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=0&sort=asc

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

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

---

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

**Bug ID:** `VS-82efcf88`  
**Pattern ID:** `VS-8ade3360`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40238&ver=3  
**XPath / selector:** `#lblProposedLcd > .system-link.log-click[target="_blank"]`  
**WCAG SC:** 1.4.1 — Use of Color (Level A)  
**Rule:** axe-core — `link-in-text-block` ([reference](https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1623 instances; 670 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### HTML snippet
```html
<a href="https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40237&amp;ver=6" target="_blank" class="log-click system-link" data-page-action="Clicked the Source Proposed LCD link">DL402
```

### Description
Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 670 of 7026 scanned pages (1623 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40238&ver=3.
2. Locate the element: #lblProposedLcd > .system-link.log-click[target="_blank"]
3. Confirm the axe-core finding for rule link-in-text-block against WCAG 1.4.1 Use of Color.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40238&ver=3
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39853&lcdStatus=all&sortBy=title&ver=3
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39802&lcdStatus=all&sortBy=title&ver=8
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40048&proposedStatus=all&sortBy=title&stateRegion=all&ver=5
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39434&lcdStatus=all&sortBy=title&ver=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37824&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39139&lcdStatus=all&sortBy=title&ver=5
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39684&lcdStatus=all&sortBy=title&ver=6
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38443&lcdStatus=all&sortBy=title&stateRegion=all&ver=11
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=40341&lcdStatus=all&sortBy=title&stateRegion=all&ver=6
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=69&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=259&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36805&ver=27
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35000&lcdStatus=all&sortBy=title&ver=156
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39266&lcdStatus=all&sortBy=title&stateRegion=all&ver=3
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57693&articleStatus=all&bc=3&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=106
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39481&lcdStatus=all&sortBy=title&stateRegion=all&ver=8
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37561&lcdStatus=all&sortBy=title&ver=15
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=157&ncdver=3
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37502&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=37790&ver=20
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39467&lcdStatus=all&sortBy=title&ver=9
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37779&lcdStatus=all&sortBy=title&ver=16

…and more — 670 pages total ([download CSV](csv/axe-core__link-in-text-block.csv)).

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40238&ver=3
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39853&lcdStatus=all&sortBy=title&ver=3

---

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

**Bug ID:** `VS-bbe5cf9a`  
**Pattern ID:** `VS-efd91fdd`  
**URL:** https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34011&lcdStatus=all&sortBy=title&ver=18  
**XPath / selector:** `<a href="#" data-bs-toggle="modal" data-bs-target="#MCDNoticeBoadModal" id="aBoardItemLink_23">`  
**WCAG SC:** 1.4.1 — Use of Color (Level A)  
**Rule:** Siteimprove Alfa — `sia-r62` ([reference](https://alfa.siteimprove.com/rules/sia-r62))  
**Severity:** Moderate  
**Frequency:** 14 instances; 7 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (11 weeks)

### Description
Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 7 of 7026 scanned pages (14 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34011&lcdStatus=all&sortBy=title&ver=18.
2. Locate the element: <a href="#" data-bs-toggle="modal" data-bs-target="#MCDNoticeBoadModal" id="aBoardItemLink_23">
3. Confirm the Siteimprove Alfa finding for rule sia-r62 against WCAG 1.4.1 Use of Color.

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

### Affected pages
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34011&lcdStatus=all&sortBy=title&ver=18
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56959&articleStatus=all&bc=3&sortBy=title&ver=31
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40049&proposedStatus=all&sortBy=title&stateRegion=all&ver=3
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58975&ver=22
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40181&ver=8
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36186&lcdStatus=all&sortBy=title&stateRegion=all&ver=37
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37088&lcdStatus=all&sortBy=title&ver=22

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

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

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

### Example pages
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34011&lcdStatus=all&sortBy=title&ver=18
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56959&articleStatus=all&bc=3&sortBy=title&ver=31
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40049&proposedStatus=all&sortBy=title&stateRegion=all&ver=3

---

## Links must have discernible text (WCAG 2.4.4)

**Bug ID:** `VS-76a525a9`  
**Pattern ID:** `VS-e9fe47ac`  
**URL:** https://cms.gov/medicare/medicaid-coordination/about/dsnps  
**XPath / selector:** `a[data-entity-type="media"][data-entity-substitution="canonical"][data-once="linkMatch"]:nth-child(5)`  
**WCAG SC:** 2.4.4 — Link Purpose (In Context) (Level A)  
**Rule:** axe-core — `link-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 6 instances; 4 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### HTML snippet
```html
<a data-entity-type="media" data-entity-uuid="c3d790c3-6ce7-4c9e-8624-03b88a3cb6ff" data-entity-substitution="canonical" href="/files/document/dsnpcoveragedecisionlettermemocy2024.pdf" data-once="link
```

### Description
Links must have discernible text. Detected by axe-core rule link-name on 4 of 7026 scanned pages (6 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare/medicaid-coordination/about/dsnps.
2. Locate the element: a[data-entity-type="media"][data-entity-substitution="canonical"][data-once="linkMatch"]:nth-child(5)
3. Confirm the axe-core finding for rule link-name against WCAG 2.4.4 Link Purpose (In Context).

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

### Affected pages
- https://cms.gov/medicare/medicaid-coordination/about/dsnps
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&fromTracking=Y&ncaid=321&proposed=Y&sortBy=title&year=2026
- https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=317&proposed=N

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

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

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

### Example pages
- https://cms.gov/medicare/medicaid-coordination/about/dsnps
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&fromTracking=Y&ncaid=321&proposed=Y&sortBy=title&year=2026
- https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments

---

## Link has accessible name (WCAG 2.4.4)

**Bug ID:** `VS-e1c10ade`  
**Pattern ID:** `VS-28ebd979`  
**URL:** https://cms.gov/medicare/medicaid-coordination/about/dsnps  
**XPath / selector:** `<a data-entity-type="media" data-entity-uuid="c3d790c3-6ce7-4c9e-8624-03b88a3cb6ff" data-entity-substitution="canonical" href="/files/document/dsnpcoveragedecisionlettermemocy2024.pdf">`  
**WCAG SC:** 2.4.4 — Link Purpose (In Context) (Level A)  
**Rule:** Siteimprove Alfa — `sia-r11` ([reference](https://alfa.siteimprove.com/rules/sia-r11))  
**Severity:** Moderate  
**Frequency:** 5 instances; 3 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (10 weeks)

### Description
Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 3 of 7026 scanned pages (5 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare/medicaid-coordination/about/dsnps.
2. Locate the element: <a data-entity-type="media" data-entity-uuid="c3d790c3-6ce7-4c9e-8624-03b88a3cb6ff" data-entity-substitution="canonical" href="/files/document/dsnpcoveragedecisionlettermemocy2024.pdf">
3. Confirm the Siteimprove Alfa finding for rule sia-r11 against WCAG 2.4.4 Link Purpose (In Context).

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

### Affected pages
- https://cms.gov/medicare/medicaid-coordination/about/dsnps
- https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=317&proposed=N

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

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

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

### Example pages
- https://cms.gov/medicare/medicaid-coordination/about/dsnps
- https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=317&proposed=N

---

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

**Bug ID:** `VS-2b2e1673`  
**Pattern ID:** `VS-c126b6a6`  
**URL:** http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0019.html  
**XPath / selector:** `html`  
**WCAG SC:** 3.1.1 — Language of Page (Level A)  
**Rule:** axe-core — `html-has-lang` ([reference](https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 263 instances; 263 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

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

### Description
<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 263 of 7026 scanned pages (263 instances).

### Steps to reproduce
1. Open http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0019.html.
2. Locate the element: html
3. Confirm the axe-core finding for rule html-has-lang against WCAG 3.1.1 Language of Page.

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

### Affected pages
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0019.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0375.html
- http://www.cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0027.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1154.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0048.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0027.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0455.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0209.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0070.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0305.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1959.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0291.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0619.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0930.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0095.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0460.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0306.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0488.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0015.html
- http://www.cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0036.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0645.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0261.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0321.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0636.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0143.html

…and more — 263 pages total ([download CSV](csv/axe-core__html-has-lang.csv)).

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

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

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

### Example pages
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0019.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0375.html
- http://www.cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0027.html

---

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

**Bug ID:** `VS-abfd1a61`  
**Pattern ID:** `VS-7a0e5645`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0645.html  
**XPath / selector:** `<html>`  
**WCAG SC:** 3.1.1 — Language of Page (Level A)  
**Rule:** Siteimprove Alfa — `sia-r4` ([reference](https://alfa.siteimprove.com/rules/sia-r4))  
**Severity:** Moderate  
**Frequency:** 72 instances; 72 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### Description
Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 72 of 7026 scanned pages (72 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0645.html.
2. Locate the element: <html>
3. Confirm the Siteimprove Alfa finding for rule sia-r4 against WCAG 3.1.1 Language of Page.

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

### Affected pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0645.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0321.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0143.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1782.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0253.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0231.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0365.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1085.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0467.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0919.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0361.html
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0227.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0053.html
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0012.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0112.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0199.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1083.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0333.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0247.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0214.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0431.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0619.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0646.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0244.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0236.html

…and more — 72 pages total ([download CSV](csv/alfa__sia-r4.csv)).

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

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

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

### Example pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0645.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0321.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0143.html

---

## Form elements must have labels (WCAG 4.1.2)

**Bug ID:** `VS-d5065361`  
**Pattern ID:** `VS-fafffee0`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0027.html  
**XPath / selector:** `#q`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `label` ([reference](https://dequeuniversity.com/rules/axe/4.12/label?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 32 instances; 32 of 7026 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W35 (10 weeks)

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

### Description
Form elements must have labels. Detected by axe-core rule label on 32 of 7026 scanned pages (32 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0027.html.
2. Locate the element: #q
3. Confirm the axe-core finding for rule label against WCAG 4.1.2 Name, Role, Value.

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

### Affected pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0027.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0291.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0460.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0645.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1782.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0214.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1085.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0361.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0041.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0175.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0333.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0619.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1188.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0646.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1125.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1877.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1568.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1277.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1084.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1144.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1159.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0243.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1154.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0226.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1278.html

…and more — 32 pages total ([download CSV](csv/axe-core__label.csv)).

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

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

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

### Example pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0027.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0291.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0460.html

---

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

**Bug ID:** `VS-121932d5`  
**Pattern ID:** `VS-fab92378`  
**URL:** https://www.cms.gov/priorities/innovation/where-innovation-happening  
**XPath / selector:** `#state-code-select`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `select-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 1 instances; 1 of 7026 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W35 (5 weeks)

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

### Description
Select element must have an accessible name. Detected by axe-core rule select-name on 1 of 7026 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/priorities/innovation/where-innovation-happening.
2. Locate the element: #state-code-select
3. Confirm the axe-core finding for rule select-name against WCAG 4.1.2 Name, Role, Value.

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

### Affected pages
- https://www.cms.gov/priorities/innovation/where-innovation-happening

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

### Suggested fix
**How to fix:** Give the <select> an accessible name via a <label> or aria-label.

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

---

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

**Bug ID:** `VS-ceb56fcf`  
**Pattern ID:** `VS-be8d563e`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=319&proposed=N&sortBy=status&status=all  
**XPath / selector:** `font > p:nth-child(1) > strong > em`  
**WCAG SC:** 1.4.3 — Contrast (Minimum) (Level AA)  
**Rule:** axe-core — `color-contrast` ([reference](https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 394 instances; 41 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### HTML snippet
```html
<em>2. Non-Invasive Biomarker Tests </em>
```

### Description
Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 41 of 7026 scanned pages (394 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=319&proposed=N&sortBy=status&status=all.
2. Locate the element: font > p:nth-child(1) > strong > em
3. Confirm the axe-core finding for rule color-contrast against WCAG 1.4.3 Contrast (Minimum).

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=319&proposed=N&sortBy=status&status=all
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39402&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=33393&lcdStatus=all&sortBy=title&ver=7
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=20
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33318&lcdStatus=all&sortBy=title&ver=63
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52487&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=33
- http://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0017.html
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33832&lcdStatus=all&sortBy=title&ver=20
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=316&proposed=N
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=33370&proposedStatus=all&sortBy=title&stateRegion=all&ver=58
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33624&ver=34
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=304&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&proposed=N&TimeFrame=7
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52465&ver=70
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&ver=52
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33803&ver=61
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=313&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=295&proposed=Y&sortBy=status&status=all
- http://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0003.html
- http://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0336.html
- http://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0091.html
- http://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0301.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36704&ver=23
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52487&articleStatus=all&bc=3&sortBy=title&ver=22
- http://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0020.html
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37899&lcdStatus=all&sortBy=title&stateRegion=all&ver=14

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

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

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=319&proposed=N&sortBy=status&status=all
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39402&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=33393&lcdStatus=all&sortBy=title&ver=7

---

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

**Bug ID:** `VS-eda277d6`  
**Pattern ID:** `VS-f7e99f4b`  
**URL:** https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39383&lcdStatus=all&sortBy=title&ver=13  
**XPath / selector:** `text: "Outcomes"`  
**WCAG SC:** 1.4.3 — Contrast (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r69` ([reference](https://alfa.siteimprove.com/rules/sia-r69))  
**Severity:** Moderate  
**Frequency:** 32 instances; 8 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### Description
Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 8 of 7026 scanned pages (32 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39383&lcdStatus=all&sortBy=title&ver=13.
2. Locate the element: text: "Outcomes"
3. Confirm the Siteimprove Alfa finding for rule sia-r69 against WCAG 1.4.3 Contrast (Minimum).

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

### Affected pages
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39383&lcdStatus=all&sortBy=title&ver=13
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=20
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&ver=52
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=313&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36704&ver=23
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33393&ver=5
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33624&lcdStatus=all&sortBy=title&ver=33
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=317&proposed=N

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

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

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

### Example pages
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39383&lcdStatus=all&sortBy=title&ver=13
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=20
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&ver=52

---

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

**Bug ID:** `VS-01e25ef8`  
**Pattern ID:** `VS-dd1c019f`  
**URL:** https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33609&lcdStatus=all&sortBy=title&stateRegion=all&ver=14  
**XPath / selector:** `li:nth-child(1) > span[lang="X-NONE"]`  
**WCAG SC:** 3.1.2 — Language of Parts (Level AA)  
**Rule:** axe-core — `valid-lang` ([reference](https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 19 instances; 3 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

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

### Description
lang attribute must have a valid value. Detected by axe-core rule valid-lang on 3 of 7026 scanned pages (19 instances).

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

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

### Affected pages
- https://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
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33609&ver=14

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

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

### Example pages
- https://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
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33609&ver=14

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-c204cf85`  
**Pattern ID:** `VS-646b1e0b`  
**URL:** http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25  
**XPath / selector:** `text: "Here's how you know"`  
**WCAG SC:** 1.4.6 — Contrast (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r66` ([reference](https://alfa.siteimprove.com/rules/sia-r66))  
**Severity:** Moderate  
**Frequency:** 3197 instances; 479 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### Description
Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 479 of 7026 scanned pages (3197 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25.
2. Locate the element: text: "Here's how you know"
3. Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced).

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

### Affected pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33738&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58450&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56401&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60450&articleStatus=all&bc=3&sortBy=title&ver=2
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57497&articleStatus=all&bc=3&sortBy=title&ver=14
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=305&ncdver=2&sortBy=title
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34548&lcdStatus=all&sortBy=title&ver=43
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57915&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53084&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=18
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=302&ncdver=3&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=35457&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37824&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60356&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38443&lcdStatus=all&sortBy=title&stateRegion=all&ver=11
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52468&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=18
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52463&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=28
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=69&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57599&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52477&ver=14
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=259&sortBy=status&status=all
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57905&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57115&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=10

…and more — 479 pages total ([download CSV](csv/alfa__sia-r66.csv)).

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

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

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

### Example pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all

---

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

**Bug ID:** `VS-a3e11cbf`  
**Pattern ID:** `VS-2208081b`  
**URL:** http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25  
**XPath / selector:** `<p class="usa-banner__header-text">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r73` ([reference](https://alfa.siteimprove.com/rules/sia-r73))  
**Severity:** Moderate  
**Frequency:** 11366 instances; 975 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### Description
Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 975 of 7026 scanned pages (11366 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25.
2. Locate the element: <p class="usa-banner__header-text">
3. Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation.

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

### Affected pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all
- http://www.cms.gov/glossary?items_per_page=10&order=title&page=103&sort=asc&term=&viewmode=grid
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33738&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58450&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals?items_per_page=25&order=field_dyna_pe_number&page=13&sort=desc
- https://www.cms.gov/about-cms/information-systems/privacy/vulnerability-disclosure-policy
- https://www.cms.gov/data-research/computer-data-systems/minimum-data-sets-3.0-public-reports
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56401&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60450&articleStatus=all&bc=3&sortBy=title&ver=2
- http://www.cms.gov/newsroom/fact-sheets/calendar-year-2026-hospital-outpatient-prospective-payment-system-opps-ambulatory-surgical-center
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57497&articleStatus=all&bc=3&sortBy=title&ver=14
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=305&ncdver=2&sortBy=title
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34548&lcdStatus=all&sortBy=title&ver=43
- https://cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10809cp
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57915&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53084&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=18
- https://cms.gov/newsroom/press-releases/proposed-nursing-home-payment-reforms-increase-accuracy-predictability-payment
- https://cms.gov/medicare/regulations-guidance/transmittals/2013-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=14&sort=asc
- https://www.cms.gov/outreach-and-education/outreach/partnerships/publications-partners/3-tips-help-someone-who-lost-medicaid-or-chip-coverage
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=302&ncdver=3&sortBy=title
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2015-transmittals-items/r1510otn
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=35457&lcdStatus=all&sortBy=title
- http://www.cms.gov/about-cms/contact/directory/aegis-treatment-centers-llc/1554511

…and more — 975 pages total ([download CSV](csv/alfa__sia-r73.csv)).

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

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

### Example pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all

---

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

**Bug ID:** `VS-430f19d9`  
**Pattern ID:** `VS-fbf54eba`  
**URL:** http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25  
**XPath / selector:** `<p class="mb-2">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r74` ([reference](https://alfa.siteimprove.com/rules/sia-r74))  
**Severity:** Moderate  
**Frequency:** 38175 instances; 483 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### Description
Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 483 of 7026 scanned pages (38175 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25.
2. Locate the element: <p class="mb-2">
3. Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation.

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

### Affected pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33738&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58450&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56401&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60450&articleStatus=all&bc=3&sortBy=title&ver=2
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57497&articleStatus=all&bc=3&sortBy=title&ver=14
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=305&ncdver=2&sortBy=title
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34548&lcdStatus=all&sortBy=title&ver=43
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57915&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53084&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=18
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=302&ncdver=3&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=35457&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37824&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60356&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38443&lcdStatus=all&sortBy=title&stateRegion=all&ver=11
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52468&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=18
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52463&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=28
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=69&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57599&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52477&ver=14
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=259&sortBy=status&status=all
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57905&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57115&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=10

…and more — 483 pages total ([download CSV](csv/alfa__sia-r74.csv)).

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

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

### Example pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all

---

## Scrollable element is keyboard accessible (WCAG 1.4.8)

**Bug ID:** `VS-612ab402`  
**Pattern ID:** `VS-388b5438`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37824&lcdStatus=all&sortBy=title&stateRegion=all&ver=18  
**XPath / selector:** `<p style="background: white; line-height: 14.4pt;">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r80` ([reference](https://alfa.siteimprove.com/rules/sia-r80))  
**Severity:** Moderate  
**Frequency:** 434 instances; 40 of 7026 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W35 (11 weeks)

### Description
Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 40 of 7026 scanned pages (434 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37824&lcdStatus=all&sortBy=title&stateRegion=all&ver=18.
2. Locate the element: <p style="background: white; line-height: 14.4pt;">
3. Confirm the Siteimprove Alfa finding for rule sia-r80 against WCAG 1.4.8 Visual Presentation.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37824&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=40324&lcdStatus=all&sortBy=title&ver=6
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39383&lcdStatus=all&sortBy=title&ver=13
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=40330&lcdStatus=all&sortBy=title&stateRegion=all&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39863&lcdStatus=all&sortBy=title&stateRegion=all&ver=9
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58781&articleStatus=all&bc=3&sortBy=title&ver=3
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59697&articleStatus=all&bc=3&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56491&ver=25
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58364&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=32
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37761&lcdStatus=all&sortBy=title&ver=23
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37475&lcdStatus=all&sortBy=title&ver=17
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38667&lcdStatus=all&sortBy=title&stateRegion=all&ver=4
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&ver=52
- https://www.cms.gov/sf5510-authorization-agreement-preauthorized-payments
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39881&lcdStatus=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38111&lcdStatus=all&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58720&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=80
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37761&lcdStatus=all&sortBy=title&stateRegion=all&ver=22
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38125&lcdStatus=all&sortBy=title&ver=10
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=40328&lcdStatus=all&sortBy=title&stateRegion=all&ver=5
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58664&articleStatus=all&bc=3&sortBy=title&ver=9
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38615&lcdStatus=all&sortBy=title&ver=14
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37504&lcdStatus=all&sortBy=title&ver=17
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52770&articleStatus=all&bc=3&sortBy=title&ver=29
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38201&lcdStatus=all&sortBy=title&ver=25

…and more — 40 pages total ([download CSV](csv/alfa__sia-r80.csv)).

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37824&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=40324&lcdStatus=all&sortBy=title&ver=6
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39383&lcdStatus=all&sortBy=title&ver=13

---

## iframe element is not empty (WCAG 1.4.8)

**Bug ID:** `VS-ab90025c`  
**Pattern ID:** `VS-48291402`  
**URL:** https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39383&lcdStatus=all&sortBy=title&ver=13  
**XPath / selector:** `<p style="text-align: justify;">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r71` ([reference](https://alfa.siteimprove.com/rules/sia-r71))  
**Severity:** Moderate  
**Frequency:** 129 instances; 13 of 7026 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W35 (11 weeks)

### Description
iframe element is not empty. Detected by Siteimprove Alfa rule sia-r71 on 13 of 7026 scanned pages (129 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39383&lcdStatus=all&sortBy=title&ver=13.
2. Locate the element: <p style="text-align: justify;">
3. Confirm the Siteimprove Alfa finding for rule sia-r71 against WCAG 1.4.8 Visual Presentation.

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

### Affected pages
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39383&lcdStatus=all&sortBy=title&ver=13
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56344&ver=2
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56224&ver=94
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58364&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=32
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=313&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38111&lcdStatus=all&sortBy=title&ver=10
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56252&articleStatus=all&bc=3&sortBy=title&ver=2
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=40232&lcdStatus=all&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AgAAAQAAEAAA&DocType=NCA%7CCAL&fromdb=true&NCAId=228&NcaName=Magnetic+Resonance+Imaging+%28MRI%29&ver=14&year=2009
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39005&lcdStatus=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58183&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=19
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58456&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=30
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59215&articleStatus=all&bc=3&sortBy=title&ver=9

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

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

### Example pages
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39383&lcdStatus=all&sortBy=title&ver=13
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56344&ver=2
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56224&ver=94

---

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

**Bug ID:** `VS-5036b8be`  
**Pattern ID:** `VS-cb53cc4d`  
**URL:** http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25  
**XPath / selector:** `<a href="#h3IssueHeader" data-href="h3IssueHeader" class="nav-link toc-link no-link log-click" title="Jump to Issue">`  
**WCAG SC:** 2.5.5 — Target Size (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r111` ([reference](https://alfa.siteimprove.com/rules/sia-r111))  
**Severity:** Moderate  
**Frequency:** 31477 instances; 986 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### Description
Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 986 of 7026 scanned pages (31477 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25.
2. Locate the element: <a href="#h3IssueHeader" data-href="h3IssueHeader" class="nav-link toc-link no-link log-click" title="Jump to Issue">
3. Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced).

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

### Affected pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all
- http://www.cms.gov/glossary?items_per_page=10&order=title&page=103&sort=asc&term=&viewmode=grid
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33738&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58450&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals?items_per_page=25&order=field_dyna_pe_number&page=13&sort=desc
- https://www.cms.gov/about-cms/information-systems/privacy/vulnerability-disclosure-policy
- https://www.cms.gov/data-research/computer-data-systems/minimum-data-sets-3.0-public-reports
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56401&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60450&articleStatus=all&bc=3&sortBy=title&ver=2
- http://www.cms.gov/newsroom/fact-sheets/calendar-year-2026-hospital-outpatient-prospective-payment-system-opps-ambulatory-surgical-center
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57497&articleStatus=all&bc=3&sortBy=title&ver=14
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=305&ncdver=2&sortBy=title
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34548&lcdStatus=all&sortBy=title&ver=43
- https://cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10809cp
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57915&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53084&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=18
- https://cms.gov/newsroom/press-releases/proposed-nursing-home-payment-reforms-increase-accuracy-predictability-payment
- https://cms.gov/medicare/regulations-guidance/transmittals/2013-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=14&sort=asc
- https://www.cms.gov/outreach-and-education/outreach/partnerships/publications-partners/3-tips-help-someone-who-lost-medicaid-or-chip-coverage
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=302&ncdver=3&sortBy=title
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2015-transmittals-items/r1510otn
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=35457&lcdStatus=all&sortBy=title
- http://www.cms.gov/about-cms/contact/directory/aegis-treatment-centers-llc/1554511

…and more — 986 pages total ([download CSV](csv/alfa__sia-r111.csv)).

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

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

### Example pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all

---

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

**Bug ID:** `VS-39c0aa14`  
**Pattern ID:** `VS-bd13f00a`  
**URL:** http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0375.html  
**XPath / selector:** `td[width="31"]:nth-child(3) > a[accesskey="p"][href$="P0374.html"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `accesskeys` ([reference](https://dequeuniversity.com/rules/axe/4.12/accesskeys?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 245 instances; 83 of 7026 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W35 (9 weeks)

### HTML snippet
```html
<a accesskey="p" id="prev_page" href="P0374.html"><img src="bakpg.png" alt="Previous Page [Alt-p]" height="14" width="31" vspace="0" hspace="0" align="bottom" border="0"></a>
```

### Description
accesskey attribute value should be unique. Detected by axe-core rule accesskeys on 83 of 7026 scanned pages (245 instances).

### Steps to reproduce
1. Open http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0375.html.
2. Locate the element: td[width="31"]:nth-child(3) > a[accesskey="p"][href$="P0374.html"]
3. Confirm the axe-core finding for rule accesskeys.

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

### Affected pages
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0375.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1154.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0455.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1959.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0488.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0253.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1684.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0810.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0296.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0226.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0080.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0056.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0740.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0053.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0222.html
- http://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0017.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0199.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0242.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0214.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0689.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0431.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0250.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0747.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0358.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0036.html

…and more — 83 pages total ([download CSV](csv/axe-core__accesskeys.csv)).

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

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

### Example pages
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0375.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1154.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0455.html

---

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

**Bug ID:** `VS-636748a1`  
**Pattern ID:** `VS-d25f622d`  
**URL:** https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34427&lcdStatus=all&sortBy=title  
**XPath / selector:** `#navStickyHeader`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `heading-order` ([reference](https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 389 instances; 384 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

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

### Description
Heading levels should only increase by one. Detected by axe-core rule heading-order on 384 of 7026 scanned pages (389 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34427&lcdStatus=all&sortBy=title.
2. Locate the element: #navStickyHeader
3. Confirm the axe-core finding for rule heading-order.

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

### Affected pages
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34427&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=34562&lcdStatus=all&sortBy=title&stateRegion=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=319&proposed=N&sortBy=status&status=all
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=39770&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38937&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=247
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=35457&lcdStatus=all&sortBy=title
- https://www.cms.gov/priorities/burden-reduction/overview/interoperability
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=289
- http://www.cms.gov/medicare/quality/quality-improvement-organizations/end-stage-renal-disease-esrd-network-programs
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39027&lcdStatus=all&sortBy=title
- https://www.cms.gov/newsroom/fact-sheets/contract-year-2026-policy-and-technical-changes-medicare-advantage-program-medicare-prescription-final
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=33624&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=38972&lcdStatus=all&sortBy=title&stateRegion=all
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=33797&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=33642&lcdStatus=all&sortBy=title
- https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2Fascpayment%2Fdownloads%2Fascpuf01.zip
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=265&proposed=Y
- http://www.cms.gov/apps/aha/license.asp?file=%2Ffiles%2Fzip%2Foce-java-standalone-jar-v262r0.zip
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38223&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=39956&lcdStatus=all&sortBy=title&stateRegion=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AgAAAQAAEAAA&DocType=NCA%7CCAL&fromdb=true&NCAId=289&NcaName=Magnetic+Resonance+Imaging+%28MRI%29&proposed=N&ver=14&year=2009
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=37311&lcdStatus=all&sortBy=title
- https://cms.gov/flu-shot-outreach-media-material-more-languages

…and more — 384 pages total ([download CSV](csv/axe-core__heading-order.csv)).

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

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

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

### Example pages
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34427&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=34562&lcdStatus=all&sortBy=title&stateRegion=all

---

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

**Bug ID:** `VS-d5f023c2`  
**Pattern ID:** `VS-f18df681`  
**URL:** http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0019.html  
**XPath / selector:** `.arrows > tbody > tr:nth-child(1)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `region` ([reference](https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 6213 instances; 265 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### HTML snippet
```html
<tr>
		<td><img src="cms-site-logo.png"></td>
		<td style="text-align:center;"><h1>ICD-10-CM/PCS MS-DRG v37.0 Definitions Manual</h1><h1></h1></td>
		<td></td>
		<td></td>
		<td></td>
	</tr>
```

### Description
All page content should be contained by landmarks. Detected by axe-core rule region on 265 of 7026 scanned pages (6213 instances).

### Steps to reproduce
1. Open http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0019.html.
2. Locate the element: .arrows > tbody > tr:nth-child(1)
3. Confirm the axe-core finding for rule region.

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

### Affected pages
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0019.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0375.html
- http://www.cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0027.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1154.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0048.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0027.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0455.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0209.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0070.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0305.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1959.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0291.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0619.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0930.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0095.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0460.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0306.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0488.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0015.html
- http://www.cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0036.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0645.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0261.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0321.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0636.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0143.html

…and more — 265 pages total ([download CSV](csv/axe-core__region.csv)).

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

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

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

### Example pages
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0019.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0375.html
- http://www.cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0027.html

---

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

**Bug ID:** `VS-3d085870`  
**Pattern ID:** `VS-d5d82446`  
**URL:** http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0019.html  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-one-main` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 263 instances; 263 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

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

### Description
Document should have one main landmark. Detected by axe-core rule landmark-one-main on 263 of 7026 scanned pages (263 instances).

### Steps to reproduce
1. Open http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0019.html.
2. Locate the element: html
3. Confirm the axe-core finding for rule landmark-one-main.

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

### Affected pages
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0019.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0375.html
- http://www.cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0027.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1154.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0048.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0027.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0455.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0209.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0070.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0305.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1959.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0291.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0619.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0930.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0095.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0460.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0306.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0488.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0015.html
- http://www.cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0036.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0645.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0261.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0321.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0636.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0143.html

…and more — 263 pages total ([download CSV](csv/axe-core__landmark-one-main.csv)).

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

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

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

### Example pages
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0019.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0375.html
- http://www.cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0027.html

---

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

**Bug ID:** `VS-c9e6fe2e`  
**Pattern ID:** `VS-0ba8ce9d`  
**URL:** https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1154.html  
**XPath / selector:** `th[scope="col width="]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `scope-attr-valid` ([reference](https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 759 instances; 42 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### HTML snippet
```html
<th scope="col width=" 10"="">&nbsp;</th>
```

### Description
scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 42 of 7026 scanned pages (759 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1154.html.
2. Locate the element: th[scope="col width="]
3. Confirm the axe-core finding for rule scope-attr-valid.

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

### Affected pages
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1154.html
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=AgAAgAAAAEAAAA%3D%3D&ncdid=211&ncdver=3
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=247
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=265&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=179&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=17
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=202&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=265&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?=%2C&bc=BEAAAAAAAQAAAA%3D%3D&ncdid=190&NCDSect=280.1&ncdver=2
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1085.html
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=37&proposed=N
- https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?bc=AgAAgAAAAAAA&NCDId=331&ncdver=4
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=81&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=206&proposed=N
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=ACAAAAAACAAAAA&fromTracking=Y&ncaid=17&NcaName=Cardiac+Pacemakers&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=15&proposed=N
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=27&proposed=N
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=190&ncdver=3&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=331&ncdver=4
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=66&proposed=N
- https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?fromdb=true&NCAId=139
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1125.html
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=295&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1084.html
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=AgAAgAAAAAAA&ncdid=331&ncdver=3

…and more — 42 pages total ([download CSV](csv/axe-core__scope-attr-valid.csv)).

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

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

### Example pages
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1154.html
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=AgAAgAAAAEAAAA%3D%3D&ncdid=211&ncdver=3
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=247

---

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

**Bug ID:** `VS-235e8e8d`  
**Pattern ID:** `VS-fa44f293`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0027.html  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `page-has-heading-one` ([reference](https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 41 instances; 41 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

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

### Description
Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 41 of 7026 scanned pages (41 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0027.html.
2. Locate the element: html
3. Confirm the axe-core finding for rule page-has-heading-one.

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

### Affected pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0027.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0291.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0460.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0645.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1782.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0214.html
- https://www.cms.gov/medicaid-chip/community-engagement-support/eligibility-made-easy
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1085.html
- http://cms.gov/medical-bill-rights
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0361.html
- https://www.cms.gov/derechos-facturas-medicas/ayuda/guias/explicacion-de-beneficios
- https://www.cms.gov/data-research/cms-information-technology/tlc
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0041.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0175.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0333.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0619.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1188.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0646.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1125.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1877.html
- https://www.cms.gov/medicare/medicaid-coordination/states/medicaid-integrity-program
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1568.html
- https://cms.gov/derechos-facturas-medicas/ayuda/guias/ayuda-financiera
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1277.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1084.html

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

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

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

### Example pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0027.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0291.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0460.html

---

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

**Bug ID:** `VS-9623653a`  
**Pattern ID:** `VS-8806389c`  
**URL:** https://www.cms.gov/priorities/innovation/where-innovation-happening  
**XPath / selector:** `#non-state-table_wrapper > .dt-layout-row:nth-child(3) > .dt-layout-end.dt-layout-cell > .dt-paging > nav[aria-label="pagination"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-unique` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 3 instances; 3 of 7026 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W35 (11 weeks)

### HTML snippet
```html
<nav aria-label="pagination">
```

### Description
Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 3 of 7026 scanned pages (3 instances).

### Steps to reproduce
1. Open https://www.cms.gov/priorities/innovation/where-innovation-happening.
2. Locate the element: #non-state-table_wrapper > .dt-layout-row:nth-child(3) > .dt-layout-end.dt-layout-cell > .dt-paging > nav[aria-label="pagination"]
3. Confirm the axe-core finding for rule landmark-unique.

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

### Affected pages
- https://www.cms.gov/priorities/innovation/where-innovation-happening
- https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/TEP-Currently-Accepting-Nominations.html
- http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html

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

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

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

### Example pages
- https://www.cms.gov/priorities/innovation/where-innovation-happening
- https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/TEP-Currently-Accepting-Nominations.html
- http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html

---

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

**Bug ID:** `VS-eaf475f4`  
**Pattern ID:** `VS-30db094d`  
**URL:** http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Inpatient.html  
**XPath / selector:** `.Header`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-banner-is-top-level` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-banner-is-top-level?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (9 weeks)

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

### Description
Banner landmark should not be contained in another landmark. Detected by axe-core rule landmark-banner-is-top-level on 1 of 7026 scanned pages (1 instances).

### Steps to reproduce
1. Open http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Inpatient.html.
2. Locate the element: .Header
3. Confirm the axe-core finding for rule landmark-banner-is-top-level.

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

### Affected pages
- http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Inpatient.html

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

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

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

---

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

**Bug ID:** `VS-84a491d1`  
**Pattern ID:** `VS-ff3ceb19`  
**URL:** http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html  
**XPath / selector:** `#NAV_MAIN`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-main-is-top-level` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 7026 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W35 (4 weeks)

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

### Description
Main landmark should not be contained in another landmark. Detected by axe-core rule landmark-main-is-top-level on 1 of 7026 scanned pages (1 instances).

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

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

### Affected pages
- http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html

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

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

---

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

**Bug ID:** `VS-a1419a22`  
**Pattern ID:** `VS-cd69be3a`  
**URL:** http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html  
**XPath / selector:** `main`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-no-duplicate-main` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 7026 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W35 (4 weeks)

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

### Description
Document should not have more than one main landmark. Detected by axe-core rule landmark-no-duplicate-main on 1 of 7026 scanned pages (1 instances).

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

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

### Affected pages
- http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html

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

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI

---

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

**Bug ID:** `VS-0b7c0a0e`  
**Pattern ID:** `VS-0066c67d`  
**URL:** http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0019.html  
**XPath / selector:** `h1:nth-child(2)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `empty-heading` ([reference](https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 250 instances; 250 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

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

### Description
Headings should not be empty. Detected by axe-core rule empty-heading on 250 of 7026 scanned pages (250 instances).

### Steps to reproduce
1. Open http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0019.html.
2. Locate the element: h1:nth-child(2)
3. Confirm the axe-core finding for rule empty-heading.

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

### Affected pages
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0019.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0375.html
- http://www.cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0027.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1154.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0048.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0455.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0209.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0070.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0305.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1959.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0619.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0930.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0095.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0306.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0488.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0015.html
- http://www.cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0036.html
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37244&lcdStatus=all&sortBy=title&ver=41
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0261.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0321.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0636.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0143.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0166.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0026.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0253.html

…and more — 250 pages total ([download CSV](csv/axe-core__empty-heading.csv)).

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

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

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

### Example pages
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0019.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0375.html
- http://www.cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0027.html

---

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

**Bug ID:** `VS-0ca925cb`  
**Pattern ID:** `VS-d69fc059`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=319&proposed=N&sortBy=status&status=all  
**XPath / selector:** `div:nth-child(10) > .MsoTableGrid[border="1"] > tbody > tr[valign="top"]:nth-child(1) > th:nth-child(1)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `empty-table-header` ([reference](https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 58 instances; 28 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### HTML snippet
```html
<th valign="top"></th>
```

### Description
Table header text should not be empty. Detected by axe-core rule empty-table-header on 28 of 7026 scanned pages (58 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=319&proposed=N&sortBy=status&status=all.
2. Locate the element: div:nth-child(10) > .MsoTableGrid[border="1"] > tbody > tr[valign="top"]:nth-child(1) > th:nth-child(1)
3. Confirm the axe-core finding for rule empty-table-header.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=319&proposed=N&sortBy=status&status=all
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1154.html
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=AgAAgAAAAEAAAA%3D%3D&ncdid=211&ncdver=3
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56104&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=179&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=17
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1085.html
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=37&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&fromTracking=Y&ncaid=321&proposed=Y&sortBy=title&year=2026
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=ACAAAAAACAAAAA&fromTracking=Y&ncaid=17&NcaName=Cardiac+Pacemakers&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=316&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36868&lcdStatus=all&sortBy=title&ver=24
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1125.html
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=313&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=295&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1084.html
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=36889&lcdStatus=all&sortBy=title&ver=25
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0386.html
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AAgAAAAACAAA&ncaid=273&proposed=N
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1200.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1161.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36889&ver=25
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=8
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=33&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=77&proposed=N&sortBy=status&status=all

…and more — 28 pages total ([download CSV](csv/axe-core__empty-table-header.csv)).

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=319&proposed=N&sortBy=status&status=all
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1154.html
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=AgAAgAAAAEAAAA%3D%3D&ncdid=211&ncdver=3

---

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

**Bug ID:** `VS-bb920fac`  
**Pattern ID:** `VS-4fac2f41`  
**URL:** https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/TEP-Currently-Accepting-Nominations.html  
**XPath / selector:** `.usa-nav > .usa-nav__inner > .usa-nav__primary.usa-accordion[role="navigation"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `aria-allowed-role` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 2 instances; 1 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (7 weeks)

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

### Description
ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 1 of 7026 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/TEP-Currently-Accepting-Nominations.html.
2. Locate the element: .usa-nav > .usa-nav__inner > .usa-nav__primary.usa-accordion[role="navigation"]
3. Confirm the axe-core finding for rule aria-allowed-role.

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

### Affected pages
- https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/TEP-Currently-Accepting-Nominations.html

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

### Suggested fix
**How to fix:** Remove or change the ARIA role — it isn't allowed on this element type.

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

---

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

**Bug ID:** `VS-e441d70d`  
**Pattern ID:** `VS-7118fead`  
**URL:** http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r61` ([reference](https://alfa.siteimprove.com/rules/sia-r61))  
**Severity:** Moderate  
**Frequency:** 914 instances; 914 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### Description
Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 914 of 7026 scanned pages (914 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r61.

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

### Affected pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all
- http://www.cms.gov/glossary?items_per_page=10&order=title&page=103&sort=asc&term=&viewmode=grid
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33738&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58450&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals?items_per_page=25&order=field_dyna_pe_number&page=13&sort=desc
- https://www.cms.gov/about-cms/information-systems/privacy/vulnerability-disclosure-policy
- https://www.cms.gov/data-research/computer-data-systems/minimum-data-sets-3.0-public-reports
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56401&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60450&articleStatus=all&bc=3&sortBy=title&ver=2
- http://www.cms.gov/newsroom/fact-sheets/calendar-year-2026-hospital-outpatient-prospective-payment-system-opps-ambulatory-surgical-center
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57497&articleStatus=all&bc=3&sortBy=title&ver=14
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=305&ncdver=2&sortBy=title
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34548&lcdStatus=all&sortBy=title&ver=43
- https://cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10809cp
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57915&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53084&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=18
- https://cms.gov/newsroom/press-releases/proposed-nursing-home-payment-reforms-increase-accuracy-predictability-payment
- https://cms.gov/medicare/regulations-guidance/transmittals/2013-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=14&sort=asc
- https://www.cms.gov/outreach-and-education/outreach/partnerships/publications-partners/3-tips-help-someone-who-lost-medicaid-or-chip-coverage
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=302&ncdver=3&sortBy=title
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2015-transmittals-items/r1510otn
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=35457&lcdStatus=all&sortBy=title
- http://www.cms.gov/about-cms/contact/directory/aegis-treatment-centers-llc/1554511

…and more — 914 pages total ([download CSV](csv/alfa__sia-r61.csv)).

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

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

### Example pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-60505f58`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25  
**XPath / selector:** `<h3 id="h3DocumentInformationHeader" class="document-view-section-header">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r53` ([reference](https://alfa.siteimprove.com/rules/sia-r53))  
**Severity:** Moderate  
**Frequency:** 426 instances; 424 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### Description
Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 424 of 7026 scanned pages (426 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25.
2. Locate the element: <h3 id="h3DocumentInformationHeader" class="document-view-section-header">
3. Confirm the Siteimprove Alfa finding for rule sia-r53.

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

### Affected pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33738&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58450&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60450&articleStatus=all&bc=3&sortBy=title&ver=2
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57497&articleStatus=all&bc=3&sortBy=title&ver=14
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34548&lcdStatus=all&sortBy=title&ver=43
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57915&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53084&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=18
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=35457&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=37824&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60356&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38443&lcdStatus=all&sortBy=title&stateRegion=all&ver=11
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52468&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=18
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52463&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=28
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57599&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52477&ver=14
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57905&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57115&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=10
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39266&lcdStatus=all&sortBy=title&stateRegion=all&ver=3
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52850&articleStatus=all&bc=3&sortBy=title&ver=55
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37561&lcdStatus=all&sortBy=title&ver=15
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58073&articleStatus=all&bc=3&sortBy=title&ver=4
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=37790&ver=20

…and more — 424 pages total ([download CSV](csv/alfa__sia-r53.csv)).

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

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

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

### Example pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36460&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34196&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all

---

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

**Bug ID:** `VS-fcaa935d`  
**Pattern ID:** `VS-c18be945`  
**URL:** https://www.cms.gov/about-cms/information-systems/privacy/vulnerability-disclosure-policy  
**XPath / selector:** `text: "Feedback"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 277 instances; 277 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### Description
Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 277 of 7026 scanned pages (277 instances).

### Steps to reproduce
1. Open https://www.cms.gov/about-cms/information-systems/privacy/vulnerability-disclosure-policy.
2. Locate the element: text: "Feedback"
3. Confirm the Siteimprove Alfa finding for rule sia-r57.

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

### Affected pages
- https://www.cms.gov/about-cms/information-systems/privacy/vulnerability-disclosure-policy
- https://www.cms.gov/data-research/computer-data-systems/minimum-data-sets-3.0-public-reports
- http://www.cms.gov/newsroom/fact-sheets/calendar-year-2026-hospital-outpatient-prospective-payment-system-opps-ambulatory-surgical-center
- https://cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r10809cp
- https://cms.gov/newsroom/press-releases/proposed-nursing-home-payment-reforms-increase-accuracy-predictability-payment
- https://cms.gov/medicare/regulations-guidance/transmittals/2013-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=14&sort=asc
- https://www.cms.gov/outreach-and-education/outreach/partnerships/publications-partners/3-tips-help-someone-who-lost-medicaid-or-chip-coverage
- http://www.cms.gov/about-cms/contact/directory/aegis-treatment-centers-llc/1554511
- https://www.cms.gov/medicare/forms-notices/cms-forms-list
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2013-transmittals-items/r492pi
- https://www.cms.gov/newsroom/fact-sheets/center-medicare-and-medicaid-innovation
- http://www.cms.gov/regulations-and-guidance/guidance/transmittals/2015-transmittals-items/r602pi
- https://www.cms.gov/newsroom/press-releases/medicare-announces-clinical-trial-policy
- https://www.cms.gov/newsroom/press-releases/cms-announces-membership-independent-coronavirus-commission-safety-quality-nursing-homes
- https://cms.gov/medicare/regulations-guidance/transmittals/2026-transmittals/r13772cp
- https://cms.gov/newsroom/fact-sheets/fiscal-year-2024-improper-payments-fact-sheet
- http://www.cms.gov/newsroom/press-releases/managed-care-plan-expands-include-medicare-beneficiaries-44-municipalities-puerto-rico
- https://cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=5&sort=desc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2015-transmittals?items_per_page=25&order=field_dyna_issue_date&page=7&sort=asc
- https://cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?items_per_page=25&order=field_dyna_release_date&page=3&sort=asc
- https://www.cms.gov/data-research/cms-information-technology/section-508-cms/contractors-developers/section-508-exceptions
- https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_issue_date&page=13&sort=asc
- https://www.cms.gov/newsroom/press-releases/managed-care-plan-expands-include-medicare-beneficiaries-12-counties-eastern-north-dakota
- http://www.cms.gov/medicare/quality/home-health/home-health-quality-measures
- https://cms.gov/flu-shot-outreach-media-material-more-languages

…and more — 277 pages total ([download CSV](csv/alfa__sia-r57.csv)).

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

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

### Example pages
- https://www.cms.gov/about-cms/information-systems/privacy/vulnerability-disclosure-policy
- https://www.cms.gov/data-research/computer-data-systems/minimum-data-sets-3.0-public-reports
- http://www.cms.gov/newsroom/fact-sheets/calendar-year-2026-hospital-outpatient-prospective-payment-system-opps-ambulatory-surgical-center

---

## Table header has scope (WCAG criterion undetermined)

**Bug ID:** `VS-4f662fa0`  
**Pattern ID:** `VS-2cd767ca`  
**URL:** https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all  
**XPath / selector:** `<h3 id="navStickyHeader" class="bg-white d-inline expand-head-pad">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r78` ([reference](https://alfa.siteimprove.com/rules/sia-r78))  
**Severity:** Moderate  
**Frequency:** 318 instances; 251 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### Description
Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 251 of 7026 scanned pages (318 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all.
2. Locate the element: <h3 id="navStickyHeader" class="bg-white d-inline expand-head-pad">
3. Confirm the Siteimprove Alfa finding for rule sia-r78.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57497&articleStatus=all&bc=3&sortBy=title&ver=14
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57915&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=35457&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57599&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=11
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57905&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57115&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=10
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52850&articleStatus=all&bc=3&sortBy=title&ver=55
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58609&ver=6
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57068&articleStatus=all&bc=3&sortBy=title&ver=17
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53480&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=33967&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=36377&lcdStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56531&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=19
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59416&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0321.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0143.html
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=35456&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39853&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=35125&lcdStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57528&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=5
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56767&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=25
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0253.html
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=39905&lcdStatus=all&sortBy=title&stateRegion=all
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0231.html

…and more — 251 pages total ([download CSV](csv/alfa__sia-r78.csv)).

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=37798&lcdStatus=all&sortBy=title&stateRegion=all
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57497&articleStatus=all&bc=3&sortBy=title&ver=14
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57915&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=10

---

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

**Bug ID:** `VS-ebeb1896`  
**Pattern ID:** `VS-04a9d28c`  
**URL:** http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52855&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=30  
**XPath / selector:** `table`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `presentational-attr`  
**Severity:** Moderate  
**Frequency:** 1229 instances; 53 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### HTML snippet
```html
<table id="table1" class="MsoTableGrid" style="border-collapse: collapse;" border="1" cellspacing="0" cellpadding="0">
<tbody>
<tr>
<td style="width: 49.05pt; border: 1.0pt solid windowtext; padding: 
```

### Description
Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 53 of 7026 scanned pages (1229 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52855&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=30.
2. Locate the element: table
3. Confirm the deprecated-html finding for rule presentational-attr.

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

### Affected pages
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52855&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=30
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39684&lcdStatus=all&sortBy=title&ver=6
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0455.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58324&ver=35
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=17
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35090&lcdStatus=all&sortBy=title&stateRegion=all&ver=80
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0026.html
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39402&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=37857&lcdStatus=all&sortBy=title&ver=20
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0365.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0947.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0134.html
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=14&doctype=all&fromTracking=Y&ncaid=321&proposed=Y&sortBy=title&year=2026
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0012.html
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39594&lcdStatus=all&sortBy=title&ver=5
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0175.html
- https://cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0360.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0689.html
- https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?fromdb=true&NCAId=139
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34645&lcdStatus=all&sortBy=title&ver=49
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0140.html
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=304&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&proposed=N&TimeFrame=7
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&ver=23
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=245&proposed=N
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0195.html

…and more — 53 pages total ([download CSV](csv/deprecated-html__presentational-attr.csv)).

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

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

### Example pages
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52855&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=30
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39684&lcdStatus=all&sortBy=title&ver=6
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0455.html

---

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

**Bug ID:** `VS-1144c86b`  
**Pattern ID:** `VS-7fbb8b20`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0645.html  
**XPath / selector:** `{"type":"document","children":[{"type":"element","children":[{"type":"element","`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r59` ([reference](https://alfa.siteimprove.com/rules/sia-r59))  
**Severity:** Moderate  
**Frequency:** 12 instances; 12 of 7026 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W35 (10 weeks)

### Description
Element with orientation is not locked. Detected by Siteimprove Alfa rule sia-r59 on 12 of 7026 scanned pages (12 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0645.html.
2. Locate the element: {"type":"document","children":[{"type":"element","children":[{"type":"element","
3. Confirm the Siteimprove Alfa finding for rule sia-r59.

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

### Affected pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0645.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1782.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1085.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0361.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0333.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0619.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0646.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0243.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1278.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0878.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0059.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1361.html

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

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

### Example pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0645.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1782.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1085.html

---

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

**Bug ID:** `VS-652d1e83`  
**Pattern ID:** `VS-e43903a1`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0645.html  
**XPath / selector:** `<ul id="globar">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r75` ([reference](https://alfa.siteimprove.com/rules/sia-r75))  
**Severity:** Moderate  
**Frequency:** 24 instances; 12 of 7026 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W35 (10 weeks)

### Description
Form field error is identified and described. Detected by Siteimprove Alfa rule sia-r75 on 12 of 7026 scanned pages (24 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0645.html.
2. Locate the element: <ul id="globar">
3. Confirm the Siteimprove Alfa finding for rule sia-r75.

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

### Affected pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0645.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1782.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1085.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0361.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0333.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0619.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0646.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0243.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1278.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0878.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0059.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1361.html

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

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

### Example pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0645.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1782.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1085.html

---

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

**Bug ID:** `VS-dd03a570`  
**Pattern ID:** `VS-f2542d87`  
**URL:** http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=265&proposed=Y  
**XPath / selector:** `<pre>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r79` ([reference](https://alfa.siteimprove.com/rules/sia-r79))  
**Severity:** Moderate  
**Frequency:** 10 instances; 10 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (12 weeks)

### Description
Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 10 of 7026 scanned pages (10 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=265&proposed=Y.
2. Locate the element: <pre>
3. Confirm the Siteimprove Alfa finding for rule sia-r79.

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

### Affected pages
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=265&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=202&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=3&proposed=N
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=66&proposed=N
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=304&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&proposed=N&TimeFrame=7
- https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=16&sortBy=title&status=all
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=136&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AiAAAAAAEACA&docName=Decision+Memo+for+Cardiac+Pacemakers+%28CAG-00063R2%29&fromTracking=Y&ncaid=267&NcaName=Cardiac+Pacemakers+%282nd+Recon%29&proposed=Y
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AgAAAQAAEAAA&DocType=NCA%7CCAL&fromdb=true&NCAId=228&NcaName=Magnetic+Resonance+Imaging+%28MRI%29&ver=14&year=2009
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?calid=173&fromTracking=Y&proposed=N

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

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

### Example pages
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=265&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=202&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=3&proposed=N

---

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

**Bug ID:** `VS-ffc96e09`  
**Pattern ID:** `VS-4c341c77`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?NCAId=218  
**XPath / selector:** `<p>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r85` ([reference](https://alfa.siteimprove.com/rules/sia-r85))  
**Severity:** Moderate  
**Frequency:** 18 instances; 4 of 7026 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W35 (11 weeks)

### Description
Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 4 of 7026 scanned pages (18 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?NCAId=218.
2. Locate the element: <p>
3. Confirm the Siteimprove Alfa finding for rule sia-r85.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?NCAId=218
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=33&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=317&proposed=N
- https://www.cms.gov/medicare-coverage-database/details/nca-view-public-comments.aspx?NCAId=296

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?NCAId=218
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=33&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=317&proposed=N

---

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

**Bug ID:** `VS-cfdb79d9`  
**Pattern ID:** `VS-3d033717`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=304&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&proposed=N&TimeFrame=7  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r70` ([reference](https://alfa.siteimprove.com/rules/sia-r70))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 7026 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W35 (11 weeks)

### Description
No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 2 of 7026 scanned pages (2 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=304&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&proposed=N&TimeFrame=7.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r70.

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

### Affected pages
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=304&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&proposed=N&TimeFrame=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33942&ver=49

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

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

### Example pages
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=304&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&proposed=N&TimeFrame=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33942&ver=49

---

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

**Bug ID:** `VS-fc48aa55`  
**Pattern ID:** `VS-91d2294a`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=304&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&proposed=N&TimeFrame=7  
**XPath / selector:** `font`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `font-element`  
**Severity:** Moderate  
**Frequency:** 4 instances; 1 of 7026 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W35 (11 weeks)

### HTML snippet
```html
<font color="FF0000">(Rev.)</font>
```

### Description
Obsolete <font> element (use CSS). Detected by deprecated-html rule font-element on 1 of 7026 scanned pages (4 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=304&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&proposed=N&TimeFrame=7.
2. Locate the element: font
3. Confirm the deprecated-html finding for rule font-element.

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

### Affected pages
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AQAAIAAAAgAAAA%3D%3D&DocType=All&NCAId=304&NcaName=Screening+for+Lung+Cancer+with+Low+Dose+Computed+Tomography+%28LDCT%29&proposed=N&TimeFrame=7

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

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