# Accessibility bug reports — www.cms.gov, week 2026-W36

48 issue type(s) from 3575 pages scanned. Generated 2026-09-06 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-7d5f4c4c`  
**Pattern ID:** `VS-179ad9b3`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3  
**XPath / selector:** `<a href="#lblIssueDescriptionSubheader" data-href="lblIssueDescriptionSubheader" class="nav-link toc-link no-link log-click" title="Jump to Issue Description">`  
**WCAG SC:** 2.5.8 — Target Size (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r113` ([reference](https://alfa.siteimprove.com/rules/sia-r113))  
**Severity:** Moderate  
**Frequency:** 314 instances; 119 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### Description
Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 119 of 3575 scanned pages (314 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3.
2. Locate the element: <a href="#lblIssueDescriptionSubheader" data-href="lblIssueDescriptionSubheader" class="nav-link toc-link no-link log-click" title="Jump to Issue Description">
3. Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum).

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59030&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=13
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0007.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=35704&ver=22
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0948.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36951&ver=20
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56551&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=34
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52571&articleStatus=all&bc=3&sortBy=title&ver=139
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52437&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=177&ncdver=3&sortBy=title
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54486&articleStatus=all&bc=3&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59212&ver=3
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0069.html
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57697&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56178&articleStatus=all&bc=3&sortBy=title&ver=21
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55584&articleStatus=all&bc=3&sortBy=title&ver=16
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0234.html
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60274&bc=13&contractorName=all&contractorNumber=all&sortBy=updated&updatePeriod=1209&ver=3
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55479&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=8
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58185&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0233.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57516&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=9
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0301.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56462&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=30

…and more — 119 pages total ([download CSV](csv/alfa__sia-r113.csv)).

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59030&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=13

---

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

**Bug ID:** `VS-71f99e92`  
**Pattern ID:** `VS-f7dba940`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3  
**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:** 579 instances; 233 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### Description
Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 233 of 3575 scanned pages (579 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3.
2. Locate the element: <a id="aBasketManuButton" class="basket-icon log-click " title="View documents in your Basket" data-page-action="Clicked the Basket navbar link.">
3. Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=35000&proposedStatus=all&sortBy=title&stateRegion=all&ver=155
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=201&ncdver=8
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59030&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=13
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59675&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=35704&ver=22
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56425&ver=15
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35490&lcdStatus=all&sortBy=title&ver=81
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33801&lcdStatus=all&sortBy=title&stateRegion=all&ver=26
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36951&ver=20
- https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=233
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59799&articleStatus=all&bc=3&sortBy=title&ver=2
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56551&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=34
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52571&articleStatus=all&bc=3&sortBy=title&ver=139
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52437&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=177&ncdver=3&sortBy=title
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54486&articleStatus=all&bc=3&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57772&ver=81
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59212&ver=3
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39987&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34356&lcdStatus=all&sortBy=title&stateRegion=all&ver=35
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59429&ver=4
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39075&lcdStatus=all&sortBy=title&ver=12

…and more — 233 pages total ([download CSV](csv/alfa__sia-r14.csv)).

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=35000&proposedStatus=all&sortBy=title&stateRegion=all&ver=155

---

## Images must have alternative text (WCAG 1.1.1)

**Bug ID:** `VS-ecf8ebee`  
**Pattern ID:** `VS-9074b4dd`  
**URL:** https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0629.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:** 164 instances; 164 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (12 weeks)

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

### Description
Images must have alternative text. Detected by axe-core rule image-alt on 164 of 3575 scanned pages (164 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0629.html.
2. Locate the element: img[src$="cms-site-logo.png"]
3. Confirm the axe-core finding for rule image-alt against WCAG 1.1.1 Non-text Content.

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

### Affected pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0629.html
- https://cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0282.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0163.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0007.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0262.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0034.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1848.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0948.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0308.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0131.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0341.html
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0268.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0614.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0357.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0016.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0161.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0717.html
- https://cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0007.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0069.html
- http://www.cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0254.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0294.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0284.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0364.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0234.html
- https://cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0304.html

…and more — 164 pages total ([download CSV](csv/axe-core__image-alt.csv)).

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

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

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

### Example pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0629.html
- https://cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0282.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0163.html

---

## Image has accessible name (WCAG 1.1.1)

**Bug ID:** `VS-a6887f8b`  
**Pattern ID:** `VS-a24eaa8c`  
**URL:** https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0007.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:** 39 instances; 39 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (12 weeks)

### Description
Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 39 of 3575 scanned pages (39 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0007.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/version39-fullcode-cms/fullcode_cms/P0007.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0948.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0069.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0234.html
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0233.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0301.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P2162.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0217.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0254.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0086.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0273.html
- https://cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0001.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0691.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0226.html
- https://cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0104.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0274.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0041.html
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0181.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0212.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0130.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0203.html
- http://www.cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0087.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0228.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0353.html

…and more — 39 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/version39-fullcode-cms/fullcode_cms/P0007.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0948.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0069.html

---

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

**Bug ID:** `VS-70c59251`  
**Pattern ID:** `VS-a0bdbdf6`  
**URL:** http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=59  
**XPath / selector:** `ol:nth-child(10)`  
**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:** 846 instances; 195 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### HTML snippet
```html
<ol style="list-style-type: upper-alpha;">
```

### Description
<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 195 of 3575 scanned pages (846 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=59.
2. Locate the element: ol:nth-child(10)
3. Confirm the axe-core finding for rule list against WCAG 1.3.1 Info and Relationships.

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

### Affected pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=59
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AAgAAAAACAAA&ncaid=273&proposed=Y
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35083&lcdStatus=all&sortBy=title&ver=96
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=286&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33636&lcdStatus=all&sortBy=title&stateRegion=all&ver=53
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34085&lcdStatus=all&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33428&ver=53
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=35704&ver=22
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35083&ver=108
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38227&lcdStatus=all&sortBy=title&ver=19
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33583&lcdStatus=all&sortBy=title&ver=21
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=258&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36951&ver=20
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37205&lcdStatus=all&sortBy=title&ver=15
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34061&ver=26
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54486&articleStatus=all&bc=3&sortBy=title&ver=10
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=33614&lcdStatus=all&sortBy=title&ver=26
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57836&articleStatus=all&bc=3&sortBy=title&ver=3
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57697&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=289&proposed=N
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33947&lcdStatus=all&sortBy=title&stateRegion=all&ver=25
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39240&lcdStatus=all&sortBy=title&stateRegion=all&ver=13
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34045&lcdStatus=all&sortBy=title&stateRegion=all&ver=38
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37293&lcdStatus=all&sortBy=title&ver=27
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55479&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=8

…and more — 195 pages total ([download CSV](csv/axe-core__list.csv)).

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

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

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

### Example pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=59
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AAgAAAAACAAA&ncaid=273&proposed=Y
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35083&lcdStatus=all&sortBy=title&ver=96

---

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

**Bug ID:** `VS-d9fbfb89`  
**Pattern ID:** `VS-6175596b`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=289&proposed=N  
**XPath / selector:** `div:nth-child(459) > li:nth-child(3)`  
**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:** 75 instances; 5 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

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

### Description
<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 5 of 3575 scanned pages (75 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=289&proposed=N.
2. Locate the element: div:nth-child(459) > li:nth-child(3)
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?fromTracking=Y&ncaid=289&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=314&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=79&sortBy=meetingdate&year=all
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=308&proposed=Y
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=257

### 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?fromTracking=Y&ncaid=289&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=314&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=79&sortBy=meetingdate&year=all

---

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

**Bug ID:** `VS-49e7aad4`  
**Pattern ID:** `VS-07ba3b17`  
**URL:** https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_release_date&page=16&sort=desc  
**XPath / selector:** `.MsoTableGrid`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `td-headers-attr` ([reference](https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1 instances; 1 of 3575 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W36 (12 weeks)

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

### Description
Table cell headers attributes must refer to other <th> elements in the same tabl. Detected by axe-core rule td-headers-attr on 1 of 3575 scanned pages (1 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_release_date&page=16&sort=desc.
2. Locate the element: .MsoTableGrid
3. Confirm the axe-core finding for rule td-headers-attr against WCAG 1.3.1 Info and Relationships.

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

### Affected pages
- https://cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_release_date&page=16&sort=desc

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

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

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

---

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

**Bug ID:** `VS-04ffb1a2`  
**Pattern ID:** `VS-d6097011`  
**URL:** https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0007.html  
**XPath / selector:** `<tr>`  
**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:** 236 instances; 68 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### Description
Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 68 of 3575 scanned pages (236 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0007.html.
2. Locate the element: <tr>
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/icd10m/version39-fullcode-cms/fullcode_cms/P0007.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=35704&ver=22
- https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=233
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54486&articleStatus=all&bc=3&sortBy=title&ver=10
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39987&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57697&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34046&lcdStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=33575&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=39962&lcdStatus=all&sortBy=title&stateRegion=all
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=32553&lcdStatus=all&sortBy=title&ver=20
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=36902&lcdStatus=all&sortBy=title&stateRegion=all
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33393&lcdStatus=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=39720&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=39648&lcdStatus=all&sortBy=title&stateRegion=all
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34892&lcdStatus=all&sortBy=title&ver=123
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39036&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39857&lcdStatus=all&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=35704&lcdStatus=all&sortBy=title&stateRegion=all&ver=20
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=34062&lcdStatus=all&sortBy=title&ver=41
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33585&lcdStatus=all&sortBy=title&stateRegion=all&ver=34
- https://www.cms.gov/medicare-coverage-database/search-results.aspx?areaId=all&contractOption=all&docType=F&keyword=psych&keywordType=all&lcdid=35172&sortBy=relevance
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54832&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=14
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=34380&lcdStatus=all&sortBy=title&stateRegion=all
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33569&lcdStatus=all&sortBy=title&stateRegion=all&ver=32
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=33787&lcdStatus=all&sortBy=title

…and more — 68 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/icd10m/version39-fullcode-cms/fullcode_cms/P0007.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=35704&ver=22
- https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=233

---

## Element has required owned roles (WCAG 1.3.1)

**Bug ID:** `VS-94a6050d`  
**Pattern ID:** `VS-3c632d31`  
**URL:** https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0007.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:** 39 instances; 39 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### Description
Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 39 of 3575 scanned pages (39 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0007.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/version39-fullcode-cms/fullcode_cms/P0007.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0948.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0069.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0234.html
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0233.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0301.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P2162.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0217.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0254.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0086.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0273.html
- https://cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0001.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0691.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0226.html
- https://cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0104.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0274.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0041.html
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0181.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0212.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0130.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0203.html
- http://www.cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0087.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0228.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0353.html

…and more — 39 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/version39-fullcode-cms/fullcode_cms/P0007.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0948.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0069.html

---

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

**Bug ID:** `VS-8b23f19a`  
**Pattern ID:** `VS-4408605e`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17  
**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:** 58 instances; 33 of 3575 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W36 (12 weeks)

### Description
Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 33 of 3575 scanned pages (58 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17.
2. Locate the element: <th scope="col">
3. Confirm the Siteimprove Alfa finding for rule sia-r46 against WCAG 1.3.1 Info and Relationships.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56425&ver=15
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52571&articleStatus=all&bc=3&sortBy=title&ver=139
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52437&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57697&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55584&articleStatus=all&bc=3&sortBy=title&ver=16
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52430&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56462&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=30
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56816&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=15
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52732&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=22
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54832&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=14
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57222&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=21
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52571&articleStatus=all&bc=3&sortBy=title&ver=143
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58345&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=13
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57698&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=13
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56866&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=18
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56451&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=26
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58364&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=36
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57372&ver=18
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59553&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=11
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58582&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54992&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=43
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57512&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=19
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57225&ver=52
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54961&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=21

…and more — 33 pages total ([download CSV](csv/alfa__sia-r46.csv)).

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56425&ver=15
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52571&articleStatus=all&bc=3&sortBy=title&ver=139

---

## Table cell has header (WCAG 1.3.1)

**Bug ID:** `VS-977c88a7`  
**Pattern ID:** `VS-3f067795`  
**URL:** https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=279&proposed=Y  
**XPath / selector:** `<td>`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r77` ([reference](https://alfa.siteimprove.com/rules/sia-r77))  
**Severity:** Moderate  
**Frequency:** 20 instances; 2 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### Description
Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 2 of 3575 scanned pages (20 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=279&proposed=Y.
2. Locate the element: <td>
3. Confirm the Siteimprove Alfa finding for rule sia-r77 against WCAG 1.3.1 Info and Relationships.

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

### Affected pages
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=279&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=197&proposed=N&sortBy=status&status=all

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

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

### Example pages
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=279&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=197&proposed=N&sortBy=status&status=all

---

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

**Bug ID:** `VS-87c2a228`  
**Pattern ID:** `VS-8ade3360`  
**URL:** http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=59  
**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:** 849 instances; 345 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### HTML snippet
```html
<a href="https://localcoverage.cms.gov/mcd_archive/view/lcd.aspx?lcdInfo=39771:7" target="_blank" class="log-click system-link" data-page-action="Clicked the Source Proposed LCD link">DL35936</a>
```

### Description
Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 345 of 3575 scanned pages (849 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=59.
2. Locate the element: #lblProposedLcd > .system-link.log-click[target="_blank"]
3. Confirm the axe-core finding for rule link-in-text-block against WCAG 1.4.1 Use of Color.

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

### Affected pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=59
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35083&lcdStatus=all&sortBy=title&ver=96
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=35000&proposedStatus=all&sortBy=title&stateRegion=all&ver=155
- https://www.cms.gov/medicare-coverage-database/details/nca-details.aspx?amp%3Bbc=&NCAId=286
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33801&lcdStatus=all&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39942&lcdStatus=all&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35000&ver=149
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33428&ver=53
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59675&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35083&ver=108
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38227&lcdStatus=all&sortBy=title&ver=19
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35490&lcdStatus=all&sortBy=title&ver=81
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33801&lcdStatus=all&sortBy=title&stateRegion=all&ver=26
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=39420&lcdStatus=all&sortBy=title&stateRegion=all&ver=4
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36186&lcdStatus=all&sortBy=title&ver=37
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34434&ver=68
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36951&ver=20
- https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=233
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38970&ver=8
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38904&lcdStatus=all&sortBy=title&ver=8
- https://www.cms.gov/medicare-coverage-database/view/ncacal-tracking-sheet.aspx?ncaid=157
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38657&lcdStatus=all&sortBy=title&stateRegion=all&ver=15
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37205&lcdStatus=all&sortBy=title&ver=15

…and more — 345 pages total ([download CSV](csv/axe-core__link-in-text-block.csv)).

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

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

### Example pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35936&lcdStatus=all&sortBy=title&ver=59
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35083&lcdStatus=all&sortBy=title&ver=96
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3

---

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

**Bug ID:** `VS-8979ebf4`  
**Pattern ID:** `VS-efd91fdd`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40051&ver=4  
**XPath / selector:** `<a href="#" data-bs-toggle="modal" data-bs-target="#MCDNoticeBoadModal" id="aBoardItemLink_33">`  
**WCAG SC:** 1.4.1 — Use of Color (Level A)  
**Rule:** Siteimprove Alfa — `sia-r62` ([reference](https://alfa.siteimprove.com/rules/sia-r62))  
**Severity:** Moderate  
**Frequency:** 6 instances; 3 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (12 weeks)

### Description
Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 3 of 3575 scanned pages (6 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40051&ver=4.
2. Locate the element: <a href="#" data-bs-toggle="modal" data-bs-target="#MCDNoticeBoadModal" id="aBoardItemLink_33">
3. Confirm the Siteimprove Alfa finding for rule sia-r62 against WCAG 1.4.1 Use of Color.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40051&ver=4
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36707&lcdStatus=all&sortBy=title&stateRegion=all&ver=40
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38773&lcdStatus=all&sortBy=title&ver=24

### 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://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40051&ver=4
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=36707&lcdStatus=all&sortBy=title&stateRegion=all&ver=40
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=38773&lcdStatus=all&sortBy=title&ver=24

---

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

**Bug ID:** `VS-f449a144`  
**Pattern ID:** `VS-c613c153`  
**URL:** http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=308&proposed=Y  
**XPath / selector:** `pre`  
**WCAG SC:** 2.1.1 — Keyboard (Level A)  
**Rule:** axe-core — `scrollable-region-focusable` ([reference](https://dequeuniversity.com/rules/axe/4.12/scrollable-region-focusable?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1 instances; 1 of 3575 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W36 (8 weeks)

### HTML snippet
```html
<pre>TO: 		Administrative File: CAG-00431R

SUBJECT: 	Proposed National Coverage Determination Reconsideration forBeta Amyloid Positron Emission Tomography in Dementia and Neurodegenerative Disease

D
```

### Description
Scrollable region must have keyboard access. Detected by axe-core rule scrollable-region-focusable on 1 of 3575 scanned pages (1 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=308&proposed=Y.
2. Locate the element: pre
3. Confirm the axe-core finding for rule scrollable-region-focusable against WCAG 2.1.1 Keyboard.

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

### Affected pages
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=308&proposed=Y

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

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

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

---

## Links must have discernible text (WCAG 2.4.4)

**Bug ID:** `VS-61f8c5fd`  
**Pattern ID:** `VS-e9fe47ac`  
**URL:** https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments  
**XPath / selector:** `.field--name-field-description.field--type-text-long.cms-text--prominent > a[href="/media/665791"][data-once="linkMatch"]`  
**WCAG SC:** 2.4.4 — Link Purpose (In Context) (Level A)  
**Rule:** axe-core — `link-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 2 instances; 1 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### HTML snippet
```html
<a href="/media/665791" data-once="linkMatch"></a>
```

### Description
Links must have discernible text. Detected by axe-core rule link-name on 1 of 3575 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments.
2. Locate the element: .field--name-field-description.field--type-text-long.cms-text--prominent > a[href="/media/665791"][data-once="linkMatch"]
3. Confirm the axe-core finding for rule link-name against WCAG 2.4.4 Link Purpose (In Context).

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

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

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

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

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

---

## Link has accessible name (WCAG 2.4.4)

**Bug ID:** `VS-b3a1773a`  
**Pattern ID:** `VS-28ebd979`  
**URL:** https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments  
**XPath / selector:** `<a href="/media/665791" data-once="linkMatch">`  
**WCAG SC:** 2.4.4 — Link Purpose (In Context) (Level A)  
**Rule:** Siteimprove Alfa — `sia-r11` ([reference](https://alfa.siteimprove.com/rules/sia-r11))  
**Severity:** Moderate  
**Frequency:** 2 instances; 1 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (11 weeks)

### Description
Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 1 of 3575 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments.
2. Locate the element: <a href="/media/665791" data-once="linkMatch">
3. Confirm the Siteimprove Alfa finding for rule sia-r11 against WCAG 2.4.4 Link Purpose (In Context).

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

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

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

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

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

---

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

**Bug ID:** `VS-06b0cc38`  
**Pattern ID:** `VS-c126b6a6`  
**URL:** https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0629.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:** 175 instances; 175 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

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

### Description
<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 175 of 3575 scanned pages (175 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0629.html.
2. Locate the element: html
3. Confirm the axe-core finding for rule html-has-lang against WCAG 3.1.1 Language of Page.

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

### Affected pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0629.html
- https://cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0282.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0163.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0007.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0262.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0034.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1848.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1136.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0948.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0308.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0131.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0341.html
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0268.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0614.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0357.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0016.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0161.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0717.html
- https://cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0007.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0069.html
- http://www.cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0254.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0294.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0284.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0073.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0364.html

…and more — 175 pages total ([download CSV](csv/axe-core__html-has-lang.csv)).

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

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

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

### Example pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0629.html
- https://cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0282.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0163.html

---

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

**Bug ID:** `VS-ba0f6e0d`  
**Pattern ID:** `VS-7a0e5645`  
**URL:** https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0007.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:** 39 instances; 39 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### Description
Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 39 of 3575 scanned pages (39 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0007.html.
2. Locate the element: <html>
3. Confirm the Siteimprove Alfa finding for rule sia-r4 against WCAG 3.1.1 Language of Page.

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

### Affected pages
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0007.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0948.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0069.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0234.html
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0233.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0301.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P2162.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0217.html
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0254.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0086.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0273.html
- https://cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0001.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0691.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0226.html
- https://cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0104.html
- http://cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0274.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0010.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0041.html
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0181.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0212.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0130.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0203.html
- http://www.cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0087.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0228.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0353.html

…and more — 39 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://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0007.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0948.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0069.html

---

## Form elements must have labels (WCAG 4.1.2)

**Bug ID:** `VS-2799bd89`  
**Pattern ID:** `VS-fafffee0`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1136.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:** 11 instances; 11 of 3575 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W36 (11 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 11 of 3575 scanned pages (11 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1136.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/P1136.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0073.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0494.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0239.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0146.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0142.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1185.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1646.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1461.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1567.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0217.html

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

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

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

### Example pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1136.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0073.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0494.html

---

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

**Bug ID:** `VS-b8c2b001`  
**Pattern ID:** `VS-be8d563e`  
**URL:** https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=286&proposed=N  
**XPath / selector:** `font > strong > p`  
**WCAG SC:** 1.4.3 — Contrast (Minimum) (Level AA)  
**Rule:** axe-core — `color-contrast` ([reference](https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 171 instances; 20 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### HTML snippet
```html
<p>C.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Topical Application of Oxygen</p>
```

### Description
Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 20 of 3575 scanned pages (171 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=286&proposed=N.
2. Locate the element: font > strong > p
3. Confirm the axe-core finding for rule color-contrast against WCAG 1.4.3 Contrast (Minimum).

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

### Affected pages
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=286&proposed=N
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39462&lcdStatus=all&sortBy=title&ver=4
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=382&ncdver=1&sortBy=title
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33393&lcdStatus=all&sortBy=title&ver=9
- http://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0367.html
- http://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0036.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33832&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52487&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=27
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=291&ncdver=2&sortBy=title
- http://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0024.html
- http://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0368.html
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33370&lcdStatus=all&sortBy=title&stateRegion=all&ver=58
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=36706&ver=22
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37899&lcdStatus=all&sortBy=title&ver=14
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52465&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=60
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33370&ver=55
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=190&ncdver=4&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37903&lcdStatus=all&sortBy=title&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33393&lcdStatus=all&sortBy=title&ver=10
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37903&lcdStatus=all&sortBy=title&ver=18

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

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

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

### Example pages
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=286&proposed=N
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39462&lcdStatus=all&sortBy=title&ver=4
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=382&ncdver=1&sortBy=title

---

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

**Bug ID:** `VS-050ead42`  
**Pattern ID:** `VS-f7e99f4b`  
**URL:** http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33393&lcdStatus=all&sortBy=title&ver=9  
**XPath / selector:** `text: "PPS Level"`  
**WCAG SC:** 1.4.3 — Contrast (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r69` ([reference](https://alfa.siteimprove.com/rules/sia-r69))  
**Severity:** Moderate  
**Frequency:** 72 instances; 8 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### Description
Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 8 of 3575 scanned pages (72 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33393&lcdStatus=all&sortBy=title&ver=9.
2. Locate the element: text: "PPS Level"
3. Confirm the Siteimprove Alfa finding for rule sia-r69 against WCAG 1.4.3 Contrast (Minimum).

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

### Affected pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33393&lcdStatus=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39383&lcdStatus=all&sortBy=title&ver=13
- http://www.cms.gov/data-research/statistics-trends-and-reports/cms-fast-facts
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33370&lcdStatus=all&sortBy=title&stateRegion=all&ver=58
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=36706&ver=22
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=37903&lcdStatus=all&sortBy=title&ver=18
- http://www.cms.gov/priorities/innovation/innovation-models/primary-care-first-model-options
- http://cms.gov/priorities/innovation/innovation-models/financial-alignment

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

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

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

### Example pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33393&lcdStatus=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39383&lcdStatus=all&sortBy=title&ver=13
- http://www.cms.gov/data-research/statistics-trends-and-reports/cms-fast-facts

---

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

**Bug ID:** `VS-8f470a84`  
**Pattern ID:** `VS-dd1c019f`  
**URL:** https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings  
**XPath / selector:** `a[href$="#_ftnref1"] > span[lang="X-NONE"]`  
**WCAG SC:** 3.1.2 — Language of Parts (Level AA)  
**Rule:** axe-core — `valid-lang` ([reference](https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1 instances; 1 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

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

### Description
lang attribute must have a valid value. Detected by axe-core rule valid-lang on 1 of 3575 scanned pages (1 instances).

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

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

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

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

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

---

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

**Bug ID:** `VS-765760a0`  
**Pattern ID:** `VS-400f3a18`  
**URL:** https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings  
**XPath / selector:** `@lang="X-NONE"`  
**WCAG SC:** 3.1.2 — Language of Parts (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r7` ([reference](https://alfa.siteimprove.com/rules/sia-r7))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 3575 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W36 (5 weeks)

### Description
Element with lang attribute has correct language. Detected by Siteimprove Alfa rule sia-r7 on 1 of 3575 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings.
2. Locate the element: @lang="X-NONE"
3. Confirm the Siteimprove Alfa finding for rule sia-r7 against WCAG 3.1.2 Language of Parts.

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

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

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

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r7

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-bcd91571`  
**Pattern ID:** `VS-646b1e0b`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3  
**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:** 1566 instances; 235 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### Description
Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 235 of 3575 scanned pages (1566 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3.
2. Locate the element: text: "Here's how you know"
3. Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced).

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=35000&proposedStatus=all&sortBy=title&stateRegion=all&ver=155
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=201&ncdver=8
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59030&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=13
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59675&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=35704&ver=22
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56425&ver=15
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35490&lcdStatus=all&sortBy=title&ver=81
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33801&lcdStatus=all&sortBy=title&stateRegion=all&ver=26
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36951&ver=20
- https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=233
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59799&articleStatus=all&bc=3&sortBy=title&ver=2
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56551&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=34
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52571&articleStatus=all&bc=3&sortBy=title&ver=139
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52437&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=177&ncdver=3&sortBy=title
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54486&articleStatus=all&bc=3&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57772&ver=81
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59212&ver=3
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39987&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34356&lcdStatus=all&sortBy=title&stateRegion=all&ver=35
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59429&ver=4
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39075&lcdStatus=all&sortBy=title&ver=12

…and more — 235 pages total ([download CSV](csv/alfa__sia-r66.csv)).

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

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=35000&proposedStatus=all&sortBy=title&stateRegion=all&ver=155

---

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

**Bug ID:** `VS-e27bb57a`  
**Pattern ID:** `VS-2208081b`  
**URL:** http://cms.gov/newsroom/press-releases/hhs-seeks-public-comments-advance-equity-reduce-disparities-organ-transplantation-improve-life  
**XPath / selector:** `<p class="ds-c-usa-banner__header-text">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r73` ([reference](https://alfa.siteimprove.com/rules/sia-r73))  
**Severity:** Moderate  
**Frequency:** 5432 instances; 502 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### Description
Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 502 of 3575 scanned pages (5432 instances).

### Steps to reproduce
1. Open http://cms.gov/newsroom/press-releases/hhs-seeks-public-comments-advance-equity-reduce-disparities-organ-transplantation-improve-life.
2. Locate the element: <p class="ds-c-usa-banner__header-text">
3. Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation.

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

### Affected pages
- http://cms.gov/newsroom/press-releases/hhs-seeks-public-comments-advance-equity-reduce-disparities-organ-transplantation-improve-life
- http://cms.gov/medicare/coordination-benefits-recovery/overview/non-group-health-plan-recovery
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3
- https://www.cms.gov/newsroom/fact-sheets/cms-honors-efforts-enroll-eligible-children-medicaid-and-childrens-health-insurance-program
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=35000&proposedStatus=all&sortBy=title&stateRegion=all&ver=155
- https://cms.gov/medicare/prescription-drug-coverage/prescriptiondrugcovcontra/hpms-guidance-history-items/cy2014formularysubmissiondeadline
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=201&ncdver=8
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59030&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=13
- https://cms.gov/regulations-and-guidanceguidancetransmittals2020-transmittals/r266bp
- https://cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12338pace
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0007.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59675&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare/coordination-of-benefits-and-recovery/beneficiary-services/medicares-recovery-process/medicares-recovery-process-items/nghp-interest-calculation-estimator-tool
- https://cms.gov/about-cms/contact/database?combinedregionstate=region-All&field_switch=org&order=field_organization_type&page=18&sort=asc
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=35704&ver=22
- https://cms.gov/medicare/regulations-guidance/transmittals/2013-transmittals?items_per_page=25&order=field_dyna_cr_number&page=8&sort=desc
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56425&ver=15
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0948.html
- http://cms.gov/about-cms/what-we-do/nursing-homes/providers-cms-partners/payment-policy-information
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35490&lcdStatus=all&sortBy=title&ver=81
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33801&lcdStatus=all&sortBy=title&stateRegion=all&ver=26
- https://www.cms.gov/help-support
- http://www.cms.gov/newsroom/press-releases/departments-labor-health-and-human-services-treasury-issue-final-rules-strengthening-access-mental
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&stateRegion=all&ver=18

…and more — 502 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/newsroom/press-releases/hhs-seeks-public-comments-advance-equity-reduce-disparities-organ-transplantation-improve-life
- http://cms.gov/medicare/coordination-benefits-recovery/overview/non-group-health-plan-recovery
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3

---

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

**Bug ID:** `VS-a3eeb5f0`  
**Pattern ID:** `VS-fbf54eba`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3  
**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:** 18229 instances; 233 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### Description
Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 233 of 3575 scanned pages (18229 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3.
2. Locate the element: <p class="mb-2">
3. Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=35000&proposedStatus=all&sortBy=title&stateRegion=all&ver=155
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=201&ncdver=8
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59030&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=13
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59675&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=35704&ver=22
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56425&ver=15
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35490&lcdStatus=all&sortBy=title&ver=81
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33801&lcdStatus=all&sortBy=title&stateRegion=all&ver=26
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36951&ver=20
- https://cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=233
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59799&articleStatus=all&bc=3&sortBy=title&ver=2
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56551&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=34
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52571&articleStatus=all&bc=3&sortBy=title&ver=139
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52437&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17
- http://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=177&ncdver=3&sortBy=title
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54486&articleStatus=all&bc=3&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57772&ver=81
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59212&ver=3
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39987&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34356&lcdStatus=all&sortBy=title&stateRegion=all&ver=35
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59429&ver=4
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39075&lcdStatus=all&sortBy=title&ver=12

…and more — 233 pages total ([download CSV](csv/alfa__sia-r74.csv)).

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=35000&proposedStatus=all&sortBy=title&stateRegion=all&ver=155

---

## Scrollable element is keyboard accessible (WCAG 1.4.8)

**Bug ID:** `VS-efdbd4db`  
**Pattern ID:** `VS-388b5438`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17  
**XPath / selector:** `<p style="line-height: 14.15pt;">`  
**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:** 265 instances; 23 of 3575 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W36 (12 weeks)

### Description
Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 23 of 3575 scanned pages (265 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17.
2. Locate the element: <p style="line-height: 14.15pt;">
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/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34356&lcdStatus=all&sortBy=title&stateRegion=all&ver=35
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39075&lcdStatus=all&sortBy=title&ver=12
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38937&lcdStatus=all&sortBy=title&stateRegion=all&ver=5
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58185&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59423&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=4
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34892&lcdStatus=all&sortBy=title&ver=123
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39383&lcdStatus=all&sortBy=title&ver=13
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39762&lcdStatus=all&sortBy=title&ver=8
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38288&lcdStatus=all&sortBy=title&ver=11
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58364&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=36
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57661&articleStatus=all&bc=3&sortBy=title&ver=17
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39001&lcdStatus=all&sortBy=title&ver=15
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57141&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=47
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37311&lcdStatus=all&sortBy=title&ver=21
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58790&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40330&lcdStatus=all&sortBy=title&ver=6
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=12
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59695&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=12
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58790&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=13
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39058&lcdStatus=all&sortBy=title&ver=17
- https://www.cms.gov/sf5510-acuerdo-de-autorizacion-para-pagos-preautorizados
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58700&ver=17

### 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/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34356&lcdStatus=all&sortBy=title&stateRegion=all&ver=35
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39075&lcdStatus=all&sortBy=title&ver=12

---

## iframe element is not empty (WCAG 1.4.8)

**Bug ID:** `VS-94d179a8`  
**Pattern ID:** `VS-48291402`  
**URL:** http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&stateRegion=all&ver=18  
**XPath / selector:** `<p style="text-align: justify; line-height: 115%;">`  
**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:** 72 instances; 11 of 3575 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W36 (12 weeks)

### Description
iframe element is not empty. Detected by Siteimprove Alfa rule sia-r71 on 11 of 3575 scanned pages (72 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&stateRegion=all&ver=18.
2. Locate the element: <p style="text-align: justify; line-height: 115%;">
3. Confirm the Siteimprove Alfa finding for rule sia-r71 against WCAG 1.4.8 Visual Presentation.

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

### Affected pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58185&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39383&lcdStatus=all&sortBy=title&ver=13
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39762&lcdStatus=all&sortBy=title&ver=8
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56239&articleStatus=all&bc=3&sortBy=title&ver=3
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58364&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=36
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39262&lcdStatus=all&sortBy=title&ver=7
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39001&lcdStatus=all&sortBy=title&ver=15
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39015&lcdStatus=all&sortBy=title&ver=12
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38026&lcdStatus=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=257

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

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

### Example pages
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58185&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39383&lcdStatus=all&sortBy=title&ver=13

---

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

**Bug ID:** `VS-80f93944`  
**Pattern ID:** `VS-cb53cc4d`  
**URL:** http://cms.gov/newsroom/press-releases/hhs-seeks-public-comments-advance-equity-reduce-disparities-organ-transplantation-improve-life  
**XPath / selector:** `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">`  
**WCAG SC:** 2.5.5 — Target Size (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r111` ([reference](https://alfa.siteimprove.com/rules/sia-r111))  
**Severity:** Moderate  
**Frequency:** 16547 instances; 504 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### Description
Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 504 of 3575 scanned pages (16547 instances).

### Steps to reproduce
1. Open http://cms.gov/newsroom/press-releases/hhs-seeks-public-comments-advance-equity-reduce-disparities-organ-transplantation-improve-life.
2. Locate the element: <a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">
3. Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced).

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

### Affected pages
- http://cms.gov/newsroom/press-releases/hhs-seeks-public-comments-advance-equity-reduce-disparities-organ-transplantation-improve-life
- http://cms.gov/medicare/coordination-benefits-recovery/overview/non-group-health-plan-recovery
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3
- https://www.cms.gov/newsroom/fact-sheets/cms-honors-efforts-enroll-eligible-children-medicaid-and-childrens-health-insurance-program
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=35000&proposedStatus=all&sortBy=title&stateRegion=all&ver=155
- https://cms.gov/medicare/prescription-drug-coverage/prescriptiondrugcovcontra/hpms-guidance-history-items/cy2014formularysubmissiondeadline
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=201&ncdver=8
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59030&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=13
- https://cms.gov/regulations-and-guidanceguidancetransmittals2020-transmittals/r266bp
- https://cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12338pace
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0007.html
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59675&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare/coordination-of-benefits-and-recovery/beneficiary-services/medicares-recovery-process/medicares-recovery-process-items/nghp-interest-calculation-estimator-tool
- https://cms.gov/about-cms/contact/database?combinedregionstate=region-All&field_switch=org&order=field_organization_type&page=18&sort=asc
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=35704&ver=22
- https://cms.gov/medicare/regulations-guidance/transmittals/2013-transmittals?items_per_page=25&order=field_dyna_cr_number&page=8&sort=desc
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56425&ver=15
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0948.html
- http://cms.gov/about-cms/what-we-do/nursing-homes/providers-cms-partners/payment-policy-information
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35490&lcdStatus=all&sortBy=title&ver=81
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33801&lcdStatus=all&sortBy=title&stateRegion=all&ver=26
- https://www.cms.gov/help-support
- http://www.cms.gov/newsroom/press-releases/departments-labor-health-and-human-services-treasury-issue-final-rules-strengthening-access-mental
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&stateRegion=all&ver=18

…and more — 504 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/newsroom/press-releases/hhs-seeks-public-comments-advance-equity-reduce-disparities-organ-transplantation-improve-life
- http://cms.gov/medicare/coordination-benefits-recovery/overview/non-group-health-plan-recovery
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3

---

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

**Bug ID:** `VS-a021c6fd`  
**Pattern ID:** `VS-bd13f00a`  
**URL:** http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0163.html  
**XPath / selector:** `td[width="31"]:nth-child(3) > a[accesskey="p"][href$="P0162.html"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `accesskeys` ([reference](https://dequeuniversity.com/rules/axe/4.12/accesskeys?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 153 instances; 51 of 3575 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W36 (10 weeks)

### HTML snippet
```html
<a accesskey="p" id="prev_page" href="P0162.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 51 of 3575 scanned pages (153 instances).

### Steps to reproduce
1. Open http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0163.html.
2. Locate the element: td[width="31"]:nth-child(3) > a[accesskey="p"][href$="P0162.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/P0163.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0948.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0016.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0161.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0717.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0364.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0099.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0714.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1949.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0656.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P2162.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P2154.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0155.html
- http://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0367.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0259.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0548.html
- http://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0036.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0086.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0273.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1965.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0691.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0373.html
- https://cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/P0718.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0193.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1995.html

…and more — 51 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/P0163.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0948.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0016.html

---

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

**Bug ID:** `VS-a4585e68`  
**Pattern ID:** `VS-d25f622d`  
**URL:** http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34594&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:** 216 instances; 212 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 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 212 of 3575 scanned pages (216 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34594&lcdStatus=all&sortBy=title.
2. Locate the element: #navStickyHeader
3. Confirm the axe-core finding for rule heading-order.

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

### Affected pages
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34594&lcdStatus=all&sortBy=title
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AAgAAAAACAAA&ncaid=273&proposed=Y
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=40060&lcdStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=286&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=1&mcdid=39&sortBy=title&status=all
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=40168&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=33563&lcdStatus=all&sortBy=title
- http://cms.gov/about-cms/what-we-do/nursing-homes/providers-cms-partners/payment-policy-information
- https://www.cms.gov/medicare/coverage/summary-notice
- http://www.cms.gov/about-cms/what-we-do/nursing-homes/patients-caregivers/covid-19-info-resources
- https://www.cms.gov/apps/aha/license.asp?file=%2Ffiles%2Fzip%2Fioce-pc-software-package-v211r0.zip
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=258&proposed=N
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=35160&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=36267&lcdStatus=all&sortBy=title&stateRegion=all
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=37663&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/national-coverage-medcac-meetings-report.aspx?sortBy=meetingdate&year=all
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39987&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=38201&lcdStatus=all&sortBy=title&stateRegion=all
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=34553&lcdStatus=all&sortBy=title&stateRegion=all
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=36007&lcdStatus=all&sortBy=title&stateRegion=all
- https://cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2FASCPayment%2FDownloads%2F2013-ASC-Approved-HCPCS-Codes-and-Payment-Rates.zip
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=35091&lcdStatus=all&sortBy=title
- https://cms.gov/apps/aha/license.asp?file=%2Ffiles%2Fzip%2Fioce-quarterly-data-files-v233.zip
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=289&proposed=N
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34046&lcdStatus=all&sortBy=title

…and more — 212 pages total ([download CSV](csv/axe-core__heading-order.csv)).

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

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

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

### Example pages
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34594&lcdStatus=all&sortBy=title
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AAgAAAAACAAA&ncaid=273&proposed=Y
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=40060&lcdStatus=all&sortBy=title

---

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

**Bug ID:** `VS-a7e8899b`  
**Pattern ID:** `VS-f18df681`  
**URL:** https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0629.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:** 3990 instances; 176 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

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

### Description
All page content should be contained by landmarks. Detected by axe-core rule region on 176 of 3575 scanned pages (3990 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0629.html.
2. Locate the element: .arrows > tbody > tr:nth-child(1)
3. Confirm the axe-core finding for rule region.

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

### Affected pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0629.html
- https://cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0282.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0163.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0007.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0262.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0034.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1848.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1136.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0948.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0308.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0131.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0341.html
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0268.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0614.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0357.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0016.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0161.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0717.html
- https://cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0007.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0069.html
- http://www.cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0254.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0294.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0284.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0073.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0364.html

…and more — 176 pages total ([download CSV](csv/axe-core__region.csv)).

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

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

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

### Example pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0629.html
- https://cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0282.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0163.html

---

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

**Bug ID:** `VS-15ed3dd3`  
**Pattern ID:** `VS-d5d82446`  
**URL:** https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0629.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:** 175 instances; 175 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

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

### Description
Document should have one main landmark. Detected by axe-core rule landmark-one-main on 175 of 3575 scanned pages (175 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0629.html.
2. Locate the element: html
3. Confirm the axe-core finding for rule landmark-one-main.

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

### Affected pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0629.html
- https://cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0282.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0163.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0007.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0262.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0034.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1848.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1136.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0948.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0308.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0131.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0341.html
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0268.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0614.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0357.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0016.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0161.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0717.html
- https://cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0007.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0069.html
- http://www.cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0254.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0294.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0284.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0073.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0364.html

…and more — 175 pages total ([download CSV](csv/axe-core__landmark-one-main.csv)).

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

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

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

### Example pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0629.html
- https://cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0282.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0163.html

---

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

**Bug ID:** `VS-28497da8`  
**Pattern ID:** `VS-0ba8ce9d`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AAgAAAAACAAA&ncaid=273&proposed=Y  
**XPath / selector:** `.MsoNormalTable > tbody > tr:nth-child(2) > td[scope="row"][valign="top"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `scope-attr-valid` ([reference](https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 999 instances; 31 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### HTML snippet
```html
<td valign="top" scope="row"><p>November 18, 2013</p>   </td>
```

### Description
scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 31 of 3575 scanned pages (999 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AAgAAAAACAAA&ncaid=273&proposed=Y.
2. Locate the element: .MsoNormalTable > tbody > tr:nth-child(2) > td[scope="row"][valign="top"]
3. Confirm the axe-core finding for rule scope-attr-valid.

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

### Affected pages
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AAgAAAAACAAA&ncaid=273&proposed=Y
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=258&proposed=N
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=331&ncdver=4
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38571&ver=8
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=206&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=16&sortBy=meetingdate&year=all
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=279&proposed=Y
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=215&NcaName=Thermal+Intradiscal+Procedures&ver=10
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=AgAAgAAAAAAA&ncdid=331&ncdver=2
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=242&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=314&proposed=N&sortBy=status&status=all
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=262&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=199&proposed=Y&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=16&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=233&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?areaId=all&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&ncaid=228&proposed=Y&sortBy=relevance
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=52&proposed=N
- https://cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=169
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=84&proposed=N
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=66&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=197&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=237&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=139&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=263&proposed=Y
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?bc=18&chapter=all&labOnly=allncd&ncdid=190&ncdver=4&sortBy=title

…and more — 31 pages total ([download CSV](csv/axe-core__scope-attr-valid.csv)).

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

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

### Example pages
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AAgAAAAACAAA&ncaid=273&proposed=Y
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=258&proposed=N
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=331&ncdver=4

---

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

**Bug ID:** `VS-16a875df`  
**Pattern ID:** `VS-fa44f293`  
**URL:** https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1136.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:** 18 instances; 18 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

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

### Description
Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 18 of 3575 scanned pages (18 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1136.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/P1136.html
- https://cms.gov/search/cms/help
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0073.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0494.html
- https://www.cms.gov/medicaid-chip/community-engagement-support/eligibility-made-easy
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0239.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0146.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/P0142.html
- https://www.cms.gov/medicare/medicaid-coordination/states/medicaid-integrity-program
- https://www.cms.gov/about-cms/what-we-do/emergency-response
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1185.html
- https://www.cms.gov/medical-bill-rights
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1646.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1461.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1567.html
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0217.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/page-has-heading-one?application=axeAPI

### Example pages
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P1136.html
- https://cms.gov/search/cms/help
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0073.html

---

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

**Bug ID:** `VS-46fc585c`  
**Pattern ID:** `VS-8806389c`  
**URL:** https://www.cms.gov/about-cms/contact/newsroom  
**XPath / selector:** `.views-field-field-topic[aria-label="Related search topics"][role="region"]:nth-child(1)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-unique` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 3575 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W36 (12 weeks)

### HTML snippet
```html
<span class="views-field views-field-field-topic" role="region" aria-label="Related search topics">
<a href="/newsroom/search?about[]=33506&amp;keys= " data-once="linkMatch">Administration</a>
</span>
```

### Description
Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 2 of 3575 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cms.gov/about-cms/contact/newsroom.
2. Locate the element: .views-field-field-topic[aria-label="Related search topics"][role="region"]:nth-child(1)
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/about-cms/contact/newsroom
- https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2015-Press-releases-items/2015-07-29.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/about-cms/contact/newsroom
- https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2015-Press-releases-items/2015-07-29.html

---

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

**Bug ID:** `VS-11b3ee9c`  
**Pattern ID:** `VS-30db094d`  
**URL:** http://www.cms.gov/data-research/statistics-trends-and-reports/cms-fast-facts  
**XPath / selector:** `.Header`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-banner-is-top-level` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-banner-is-top-level?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (10 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 3575 scanned pages (1 instances).

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

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

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

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

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

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

---

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

**Bug ID:** `VS-e28f283e`  
**Pattern ID:** `VS-0066c67d`  
**URL:** https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0629.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:** 168 instances; 168 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

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

### Description
Headings should not be empty. Detected by axe-core rule empty-heading on 168 of 3575 scanned pages (168 instances).

### Steps to reproduce
1. Open https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0629.html.
2. Locate the element: h1:nth-child(2)
3. Confirm the axe-core finding for rule empty-heading.

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

### Affected pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0629.html
- https://cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0282.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0163.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0007.html
- http://cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0262.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0034.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P1848.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0948.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0308.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0131.html
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0341.html
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0268.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0614.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0357.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0016.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0161.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0717.html
- https://cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0007.html
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0069.html
- http://www.cms.gov/icd10m/FY2023-version40.1-fullcode-cms/fullcode_cms/P0254.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0294.html
- http://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/P0284.html
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0364.html
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0234.html
- https://cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0304.html

…and more — 168 pages total ([download CSV](csv/axe-core__empty-heading.csv)).

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

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

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

### Example pages
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0629.html
- https://cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0282.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0163.html

---

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

**Bug ID:** `VS-180349a5`  
**Pattern ID:** `VS-d69fc059`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AAgAAAAACAAA&ncaid=273&proposed=Y  
**XPath / selector:** `.TableGrid1[border="1"]:nth-child(91) > tbody > tr:nth-child(1) > th:nth-child(1)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `empty-table-header` ([reference](https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 27 instances; 10 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

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

### Description
Table header text should not be empty. Detected by axe-core rule empty-table-header on 10 of 3575 scanned pages (27 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AAgAAAAACAAA&ncaid=273&proposed=Y.
2. Locate the element: .TableGrid1[border="1"]:nth-child(91) > tbody > tr:nth-child(1) > th:nth-child(1)
3. Confirm the axe-core finding for rule empty-table-header.

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

### Affected pages
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AAgAAAAACAAA&ncaid=273&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=16&sortBy=meetingdate&year=all
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=279&proposed=Y
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=215&NcaName=Thermal+Intradiscal+Procedures&ver=10
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=16&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=197&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=27&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=263&proposed=Y
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=308&proposed=Y
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P1202.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/empty-table-header?application=axeAPI

### Example pages
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AAgAAAAACAAA&ncaid=273&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=16&sortBy=meetingdate&year=all
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=279&proposed=Y

---

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

**Bug ID:** `VS-32f1c413`  
**Pattern ID:** `VS-f528778d`  
**URL:** https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=257  
**XPath / selector:** `img[height="485"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `image-redundant-alt` ([reference](https://dequeuniversity.com/rules/axe/4.12/image-redundant-alt?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 2 instances; 1 of 3575 pages affected
  
**History:** first seen 2026-W31, last seen 2026-W36 (2 weeks)

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

### Description
Alternative text of images should not be repeated as text. Detected by axe-core rule image-redundant-alt on 1 of 3575 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=257.
2. Locate the element: img[height="485"]
3. Confirm the axe-core finding for rule image-redundant-alt.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=257

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

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

---

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

**Bug ID:** `VS-29a62620`  
**Pattern ID:** `VS-7118fead`  
**URL:** http://cms.gov/newsroom/press-releases/hhs-seeks-public-comments-advance-equity-reduce-disparities-organ-transplantation-improve-life  
**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:** 463 instances; 463 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### Description
Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 463 of 3575 scanned pages (463 instances).

### Steps to reproduce
1. Open http://cms.gov/newsroom/press-releases/hhs-seeks-public-comments-advance-equity-reduce-disparities-organ-transplantation-improve-life.
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/newsroom/press-releases/hhs-seeks-public-comments-advance-equity-reduce-disparities-organ-transplantation-improve-life
- http://cms.gov/medicare/coordination-benefits-recovery/overview/non-group-health-plan-recovery
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3
- https://www.cms.gov/newsroom/fact-sheets/cms-honors-efforts-enroll-eligible-children-medicaid-and-childrens-health-insurance-program
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=35000&proposedStatus=all&sortBy=title&stateRegion=all&ver=155
- https://cms.gov/medicare/prescription-drug-coverage/prescriptiondrugcovcontra/hpms-guidance-history-items/cy2014formularysubmissiondeadline
- https://cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=201&ncdver=8
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59030&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=13
- https://cms.gov/regulations-and-guidanceguidancetransmittals2020-transmittals/r266bp
- https://cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12338pace
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59675&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://cms.gov/medicare/coordination-of-benefits-and-recovery/beneficiary-services/medicares-recovery-process/medicares-recovery-process-items/nghp-interest-calculation-estimator-tool
- https://cms.gov/about-cms/contact/database?combinedregionstate=region-All&field_switch=org&order=field_organization_type&page=18&sort=asc
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=35704&ver=22
- https://cms.gov/medicare/regulations-guidance/transmittals/2013-transmittals?items_per_page=25&order=field_dyna_cr_number&page=8&sort=desc
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56425&ver=15
- http://cms.gov/about-cms/what-we-do/nursing-homes/providers-cms-partners/payment-policy-information
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35490&lcdStatus=all&sortBy=title&ver=81
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33801&lcdStatus=all&sortBy=title&stateRegion=all&ver=26
- https://www.cms.gov/help-support
- http://www.cms.gov/newsroom/press-releases/departments-labor-health-and-human-services-treasury-issue-final-rules-strengthening-access-mental
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36951&ver=20
- https://www.cms.gov/medicare/coverage/determination-process/local

…and more — 463 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/newsroom/press-releases/hhs-seeks-public-comments-advance-equity-reduce-disparities-organ-transplantation-improve-life
- http://cms.gov/medicare/coordination-benefits-recovery/overview/non-group-health-plan-recovery
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-091efbb3`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3  
**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:** 229 instances; 228 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### Description
Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 228 of 3575 scanned pages (229 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3.
2. Locate the element: <h3 id="h3DocumentInformationHeader" class="document-view-section-header">
3. Confirm the Siteimprove Alfa finding for rule sia-r53.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=35000&proposedStatus=all&sortBy=title&stateRegion=all&ver=155
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59030&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=13
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59675&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=35704&ver=22
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56425&ver=15
- http://cms.gov/about-cms/what-we-do/nursing-homes/providers-cms-partners/payment-policy-information
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=35490&lcdStatus=all&sortBy=title&ver=81
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33801&lcdStatus=all&sortBy=title&stateRegion=all&ver=26
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=38988&lcdStatus=all&sortBy=title&stateRegion=all&ver=18
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36951&ver=20
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59799&articleStatus=all&bc=3&sortBy=title&ver=2
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56551&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=34
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52571&articleStatus=all&bc=3&sortBy=title&ver=139
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52437&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54486&articleStatus=all&bc=3&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57772&ver=81
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59212&ver=3
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39987&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=34356&lcdStatus=all&sortBy=title&stateRegion=all&ver=35
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59429&ver=4
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39075&lcdStatus=all&sortBy=title&ver=12
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=8&contractorNumber=all&lcdid=33787&lcdStatus=all&sortBy=title&stateRegion=all&ver=40
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57697&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14

…and more — 228 pages total ([download CSV](csv/alfa__sia-r53.csv)).

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

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40334&ver=3
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=35000&proposedStatus=all&sortBy=title&stateRegion=all&ver=155

---

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

**Bug ID:** `VS-4bff1560`  
**Pattern ID:** `VS-c18be945`  
**URL:** http://cms.gov/newsroom/press-releases/hhs-seeks-public-comments-advance-equity-reduce-disparities-organ-transplantation-improve-life  
**XPath / selector:** `text: "Feedback"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 142 instances; 141 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### Description
Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 141 of 3575 scanned pages (142 instances).

### Steps to reproduce
1. Open http://cms.gov/newsroom/press-releases/hhs-seeks-public-comments-advance-equity-reduce-disparities-organ-transplantation-improve-life.
2. Locate the element: text: "Feedback"
3. Confirm the Siteimprove Alfa finding for rule sia-r57.

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

### Affected pages
- http://cms.gov/newsroom/press-releases/hhs-seeks-public-comments-advance-equity-reduce-disparities-organ-transplantation-improve-life
- https://cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12338pace
- https://cms.gov/medicare/coordination-of-benefits-and-recovery/beneficiary-services/medicares-recovery-process/medicares-recovery-process-items/nghp-interest-calculation-estimator-tool
- https://cms.gov/about-cms/contact/database?combinedregionstate=region-All&field_switch=org&order=field_organization_type&page=18&sort=asc
- https://cms.gov/medicare/regulations-guidance/transmittals/2013-transmittals?items_per_page=25&order=field_dyna_cr_number&page=8&sort=desc
- http://cms.gov/about-cms/what-we-do/nursing-homes/providers-cms-partners/payment-policy-information
- https://www.cms.gov/help-support
- https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments/statistics
- https://cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r11377otn
- https://www.cms.gov/medicare/coordination-of-benefits-and-recovery/coordination-of-benefits-and-recovery-overview/crcp/commercial-repayment-center-portal-items/account-designee-access
- https://www.cms.gov/about-cms/web-policies-important-links/help
- https://www.cms.gov/outreach-and-education/reach-out/find-tools-to-help-you-help-others/open-enrollment-outreach-and-media-materials
- https://www.cms.gov/newsroom/press-releases/statement-attributable-cms-administrator-chiquita-brooks-lasure
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2025-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=7&sort=asc
- https://www.cms.gov/digital-service
- https://cms.gov/regulations-and-guidance/guidance/transmittals/2018-transmittals-items/r2022otn
- https://www.cms.gov/about-cms/who-we-are/leadership/digital-service-cms
- http://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r11192otn
- https://www.cms.gov/medicare/payment/fee-schedules/clinical-laboratory-fee-schedule-clfs/files
- https://www.cms.gov/medicare/enrollment-renewal/providers-suppliers
- https://www.cms.gov/acronyms?items_per_page=10&order=body&page=424&searchterm=&sort=desc&viewmode=grid
- http://www.cms.gov/priorities/burden-reduction/overview/interoperability/frequently-asked-questions/provider-access-api
- https://www.cms.gov/training-education/find-provider-type/health-drug-plans
- https://cms.gov/priorities/innovation/events/dc-model-options-fncl-methodology
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2017-transmittals-items/r203ncd

…and more — 141 pages total ([download CSV](csv/alfa__sia-r57.csv)).

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

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

### Example pages
- http://cms.gov/newsroom/press-releases/hhs-seeks-public-comments-advance-equity-reduce-disparities-organ-transplantation-improve-life
- https://cms.gov/medicare/regulations-guidance/transmittals/2023-transmittals/r12338pace
- https://cms.gov/medicare/coordination-of-benefits-and-recovery/beneficiary-services/medicares-recovery-process/medicares-recovery-process-items/nghp-interest-calculation-estimator-tool

---

## Table header has scope (WCAG criterion undetermined)

**Bug ID:** `VS-1660abe5`  
**Pattern ID:** `VS-2cd767ca`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17  
**XPath / selector:** `<h4>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r78` ([reference](https://alfa.siteimprove.com/rules/sia-r78))  
**Severity:** Moderate  
**Frequency:** 212 instances; 133 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### Description
Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 133 of 3575 scanned pages (212 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17.
2. Locate the element: <h4>
3. Confirm the Siteimprove Alfa finding for rule sia-r78.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59030&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=13
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0007.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56425&ver=15
- https://cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0948.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56551&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=34
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52437&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=54486&articleStatus=all&bc=3&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57772&ver=81
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=39987&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=59429&ver=4
- https://cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0069.html
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=57697&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=14
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=56178&articleStatus=all&bc=3&sortBy=title&ver=21
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34046&lcdStatus=all&sortBy=title
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-alphabetical-report.aspx?lcdid=33575&lcdStatus=all&sortBy=title
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=55584&articleStatus=all&bc=3&sortBy=title&ver=16
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=52430&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11
- http://cms.gov/icd10m/version36-fullcode-cms/fullcode_cms/P0234.html
- http://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-state-report.aspx?contractorNumber=all&lcdid=39962&lcdStatus=all&sortBy=title&stateRegion=all
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=60274&bc=13&contractorName=all&contractorNumber=all&sortBy=updated&updatePeriod=1209&ver=3
- https://cms.gov/medicare-coverage-database/view/article.aspx?articleid=58185&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20
- http://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/P0233.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57516&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=9
- https://cms.gov/icd10m/version39.0-fullcode-cms/fullcode_cms/P0301.html

…and more — 133 pages total ([download CSV](csv/alfa__sia-r78.csv)).

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

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59244&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59030&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=13
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0007.html

---

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

**Bug ID:** `VS-54125ffd`  
**Pattern ID:** `VS-04a9d28c`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AAgAAAAACAAA&ncaid=273&proposed=Y  
**XPath / selector:** `table`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `presentational-attr`  
**Severity:** Moderate  
**Frequency:** 648 instances; 28 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### HTML snippet
```html
<table class="MsoNormalTable" border="1">  
  <tbody><tr><th scope="col">Date</th> 
  <th scope="col">Action</th> 
 </tr><tr>
  <td valign="top" scope="row"><p>November 18, 2013</p>   </td>  
  <td va
```

### Description
Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 28 of 3575 scanned pages (648 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AAgAAAAACAAA&ncaid=273&proposed=Y.
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://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AAgAAAAACAAA&ncaid=273&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35000&ver=149
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0034.html
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36951&ver=20
- http://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=6&lcdid=39462&lcdStatus=all&sortBy=title&ver=4
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0073.html
- https://cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0031.html
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=206&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39863&ver=10
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39383&lcdStatus=all&sortBy=title&ver=13
- http://www.cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0152.html
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=16&sortBy=meetingdate&year=all
- https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/P0142.html
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40355&proposedStatus=all&sortBy=title&stateRegion=all&ver=8
- https://cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0269.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0306.html
- http://www.cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/P0024.html
- http://cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/P0130.html
- http://cms.gov/medicare-coverage-database/view/article.aspx?articleid=59624&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0228.html
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?areaId=all&bc=1&contractOption=all&docType=NCA%2CCAL%2CNCD%2CMEDCAC%2CTA%2CMCD%2C6%2C3%2C5%2C1%2CF%2CP&keyword=permanent+cardiac&keywordType=starts&ncaid=228&proposed=Y&sortBy=relevance
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=84&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=237&proposed=Y
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0191.html
- https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?bc=17&ncacaldoctype=all&ncaid=230&sortBy=status&status=all

…and more — 28 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://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=AAgAAAAACAAA&ncaid=273&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35000&ver=149
- https://cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0034.html

---

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

**Bug ID:** `VS-fa8ba8d3`  
**Pattern ID:** `VS-f2542d87`  
**URL:** https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=279&proposed=Y  
**XPath / selector:** `<pre>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r79` ([reference](https://alfa.siteimprove.com/rules/sia-r79))  
**Severity:** Moderate  
**Frequency:** 4 instances; 4 of 3575 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W36 (13 weeks)

### Description
Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 4 of 3575 scanned pages (4 instances).

### Steps to reproduce
1. Open https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=279&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
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=279&proposed=Y
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=262&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=197&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=257

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

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

### Example pages
- https://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=279&proposed=Y
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=262&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=197&proposed=N&sortBy=status&status=all

---

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

**Bug ID:** `VS-9368d6dd`  
**Pattern ID:** `VS-aa242c2d`  
**URL:** http://www.cms.gov/data-research/statistics-trends-and-reports/cms-fast-facts  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r87` ([reference](https://alfa.siteimprove.com/rules/sia-r87))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 3575 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W36 (8 weeks)

### Description
First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 1 of 3575 scanned pages (1 instances).

### Steps to reproduce
1. Open http://www.cms.gov/data-research/statistics-trends-and-reports/cms-fast-facts.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r87.

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

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

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

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87

---

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

**Bug ID:** `VS-607e79a1`  
**Pattern ID:** `VS-4c341c77`  
**URL:** http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=262&proposed=N  
**XPath / selector:** `<p>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r85` ([reference](https://alfa.siteimprove.com/rules/sia-r85))  
**Severity:** Moderate  
**Frequency:** 2 instances; 1 of 3575 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W36 (12 weeks)

### Description
Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 1 of 3575 scanned pages (2 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=262&proposed=N.
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
- http://cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=262&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-r85