www.cms.gov: image inventory

Unique images encountered on scanned pages in 2026-W40, deduplicated by URL and Alt — the same image reused across pages with the same explanation is one row. Images with alternate captions are split into separate rows. Download: CSV · JSON.

Image alt-text coverage across 777 page(s) scanned in 2026-W40.
Category	Count	Share
Total image occurrences	4727	—
Unique images	292	—
Has alt text	4636	98%
Decorative (alt="")	28	1%
Missing alt attribute	63	1%

Alt-text quality

Beyond present-vs-missing, each unique image's alt text is classified for quality. Filenames, redundant phrasing ("image of…"), and too-short or too-long values are technically present but unhelpful — the cases a human should rewrite. Decorative and "looks good" are not problems.

Alt-text quality across 292 unique image(s).
Verdict	Images	Share	What it means
Missing alt	15	5%	No alt attribute — a screen reader may announce the filename.
Redundant / meaningless	24	8%	Phrases like "image of…" or bare values like "photo" add nothing.
Too long	20	7%	So long it probably belongs in a caption or a separate description.
Looks good	217	74%	Present, plausible, no red flags (still worth a human spot-check).
Decorative	16	5%	alt="" or aria-hidden — intentionally not announced. Not a problem.

Image detail

Up to 500 unique image occurrences from 777 page(s) scanned, most-reused first. — click a column heading to sort

https://www.cms.gov/themes/custom/cms_evo/logo.svg	CMS.gov	Looks good	—	2 KB	422	844
https://www.cms.gov/medicare-coverage-database/img/CMSGovLogo-O.png	CMS.gov Centers for Medicare & Medicaid Services	Looks good	—	5 KB	287	574
https://www.cms.gov/themes/custom/cms_evo/images/hhslogo.png	HHS Logo	Looks good	—	3 KB	422	422
https://www.cms.gov/medicare-coverage-database/_content/Mcim.SharedPages/img/hhslogo.png	HHS Logo	Looks good	—	3 KB	287	287
https://www.cms.gov/medicare-coverage-database/img/CMSgov@2x-white-O.png	CMS.gov Centers for Medicare & Medicaid Services	Looks good	—	2 KB	287	287
https://www.cms.gov/medicare-coverage-database/_content/Mcim.SharedPages/img/logo.svg	CMS.gov	Looks good	—	2 KB	287	287
https://www.cms.gov/medicare-coverage-database/_content/Mcim.SharedPages/img/usa-banner/icon-dot-gov.svg	Dot gov	Looks good	—	0 KB	287	287
https://www.cms.gov/medicare-coverage-database/_content/Mcim.SharedPages/img/usa-banner/icon-https.svg	Https	Looks good	—	0 KB	287	287
https://www.cms.gov/medicare-coverage-database/_content/Mcim.SharedPages/img/usa-banner/us_flag_small.png	U.S. flag	Looks good	—	0 KB	287	287
https://www.cms.gov/medicare-coverage-database/img/help/pagehelp-downloadbutton.png	Article View Download Button highlighted	Looks good	—	2 KB	252	252
https://www.cms.gov/sites/default/files/styles/desktop_width/public/2022-08/Resource_Icons_PDF-small-35.png?itok=dQ-1efd8	pdf icon	Looks good	lazy	1 KB	2	33
https://www.cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/fwdpg.png	Next Page [Alt-n]	Looks good	—	1 KB	10	20
https://www.cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/bakpg.png	Previous Page [Alt-p]	Looks good	—	1 KB	10	20
https://www.cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/uptop.png	Up a level [Alt-u]	Looks good	—	1 KB	10	20
https://www.cms.gov/medicare-coverage-database/img/help/lcflcda-link-circle.png	Local Coverage Final LCDs Listed Alphabetically Report ID link column highlighted	Looks good	—	403 KB	12	12
https://www.cms.gov/medicare-coverage-database/img/help/lc-final-lcd-alpha-additional.png	Local Coverage Final LCDs Listed Alphabetically Report additional features at the bottom highlighted	Looks good	—	403 KB	12	12
https://www.cms.gov/medicare-coverage-database/img/help/lcflcda-sortby-circle.png	Local Coverage Final LCDs Listed Alphabetically Report sort option highlighted	Looks good	—	403 KB	12	12
https://www.cms.gov/medicare-coverage-database/img/help/lcflcda-filterbar-circle.png	Local Coverage Final LCDs Listed Alphabetically Report filter bar highlighted	Looks good	—	403 KB	12	12
https://www.cms.gov/medicare-coverage-database/img/help/lcflcda-basket-circle.png	Local Coverage Final LCDs Listed Alphabetically Report basket column highlighted	Looks good	—	403 KB	12	12
https://www.cms.gov/medicare-coverage-database/img/help/lcflcda-reportdata-circle.png	Local Coverage Final LCDs Listed Alphabetically Report table highlighted	Looks good	—	402 KB	12	12
https://www.cms.gov/medicare-coverage-database/img/help/navbarbasket-circle2.png	Local Coverage Final LCDs Listed Alphabetically Report navbar basket highlighted 4 alt variants	Looks good	—	136 KB	12	12
https://www.cms.gov/medicare-coverage-database/img/help/lcflcda-filter-status.png	Local Coverage Final LCDs Listed Alphabetically Report Status filter highlighted	Looks good	—	6 KB	12	12
https://www.cms.gov/medicare-coverage-database/img/help/lc-final-lcd-contractor-additional.png	Local Coverage Final LCDs by Contractor Report additional features at the bottom highlighted	Looks good	—	406 KB	11	11
https://www.cms.gov/medicare-coverage-database/img/help/lcflcdc-link-circle.png	Local Coverage Final LCDs by Contractor Report ID link column highlighted	Looks good	—	406 KB	11	11
https://www.cms.gov/medicare-coverage-database/img/help/lcflcdc-filterbar-circle.png	Local Coverage Final LCDs by Contractor Report filter bar highlighted	Looks good	—	405 KB	11	11
https://www.cms.gov/medicare-coverage-database/img/help/lcflcdc-sortby-circle.png	Local Coverage Final LCDs by Contractor Report sort option highlighted	Looks good	—	405 KB	11	11
https://www.cms.gov/medicare-coverage-database/img/help/lcflcdc-basket-circle.png	Local Coverage Final LCDs by Contractor Report basket column highlighted	Looks good	—	405 KB	11	11
https://www.cms.gov/medicare-coverage-database/img/help/lcflcdc-reportdata-circle.png	Local Coverage Final LCDs by Contractor Report table highlighted	Looks good	—	405 KB	11	11
https://www.cms.gov/medicare-coverage-database/img/help/navbarbasket-circle2.png	Local Coverage Final LCDs by Contractor Report navbar basket highlighted 4 alt variants	Looks good	—	136 KB	11	11
https://www.cms.gov/medicare-coverage-database/img/help/lcflcdc-filter-status.png	Local Coverage Final LCDs by Contractor Report Status filter highlighted	Looks good	—	5 KB	11	11
https://www.cms.gov/medicare-coverage-database/img/help/lcflcdc-filter-contractor.png	Local Coverage Final LCDs by Contractor Report Contractor filter highlighted	Looks good	—	—	11	11
https://www.cms.gov/medicare-coverage-database/img/help/lcflcds-link-circle.png	Local Coverage Final LCDs by State Report ID link column highlighted	Looks good	—	402 KB	10	10
https://www.cms.gov/medicare-coverage-database/img/help/lc-final-lcd-state-additional.png	Local Coverage Final LCDs by State Report additional features at the bottom highlighted	Looks good	—	402 KB	10	10
https://www.cms.gov/medicare-coverage-database/img/help/lcflcds-basket-circle.png	Local Coverage Final LCDs by State Report basket column highlighted	Looks good	—	401 KB	10	10
https://www.cms.gov/medicare-coverage-database/img/help/lcflcds-filterbar-circle.png	Local Coverage Final LCDs by State Report filter bar highlighted	Looks good	—	401 KB	10	10
https://www.cms.gov/medicare-coverage-database/img/help/lcflcds-sortby-circle.png	Local Coverage Final LCDs by State Report sort option highlighted	Looks good	—	401 KB	10	10
https://www.cms.gov/medicare-coverage-database/img/help/lcflcds-reportdata-circle.png	Local Coverage Final LCDs by State Report table highlighted	Looks good	—	401 KB	10	10
https://www.cms.gov/medicare-coverage-database/img/help/navbarbasket-circle2.png	Local Coverage Final LCDs by State Report navbar basket highlighted 4 alt variants	Looks good	—	136 KB	10	10
https://www.cms.gov/icd10m/FY2026-fr-v43-fullcode-cms/fullcode_cms/cms-site-logo.png	missing	Missing alt	—	13 KB	10	10
https://www.cms.gov/medicare-coverage-database/img/help/lcflcds-filter-status.png	Local Coverage Final LCDs by State Report Status filter highlighted	Looks good	—	6 KB	10	10
https://www.cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/uptop.png	Up a level [Alt-u]	Looks good	—	1 KB	5	10
https://www.cms.gov/medicare-coverage-database/img/help/lcflcds-filter-state.png	Local Coverage Final LCDs by State Report State filter highlighted	Looks good	—	—	10	10
https://www.cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/fwdpg.png	Next Page [Alt-n]	Looks good	—	1 KB	4	8
https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/fwdpg.png	Next Page [Alt-n]	Looks good	—	1 KB	4	8
https://www.cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/bakpg.png	Previous Page [Alt-p]	Looks good	—	1 KB	4	8
https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/bakpg.png	Previous Page [Alt-p]	Looks good	—	1 KB	4	8
https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/uptop.png	Up a level [Alt-u]	Looks good	—	1 KB	4	8
https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/cms-site-logo.png	missing	Missing alt	—	13 KB	7	7
https://www.cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/cms-site-logo.png	missing	Missing alt	—	13 KB	7	7
https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/fwdpg.png	Next Page [Alt-n]	Looks good	—	1 KB	7	7
https://www.cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/fwdpg.png	Next Page [Alt-n]	Looks good	—	1 KB	7	7
https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/bakpg.png	Previous Page [Alt-p]	Looks good	—	1 KB	7	7
https://www.cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/bakpg.png	Previous Page [Alt-p]	Looks good	—	1 KB	7	7
https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/uptop.png	Up a level [Alt-u]	Looks good	—	1 KB	7	7
https://www.cms.gov/icd10m/version38-fullcode-cms/fullcode_cms/uptop.png	Up a level [Alt-u]	Looks good	—	1 KB	7	7
https://www.cms.gov/medicare-coverage-database/img/notice-board-glasses.png	decorative	Decorative	—	131 KB	5	5
https://www.cms.gov/medicare-coverage-database/img/public-comments-pen.png	decorative	Decorative	—	100 KB	5	5
https://www.cms.gov/medicare-coverage-database/img/help/search-hintlist.png	Search page hint list	Looks good	—	75 KB	5	5
https://www.cms.gov/medicare-coverage-database/img/help/search-selectstate.png	Search page state selection	Looks good	—	23 KB	5	5
https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/banner-text.jpg	Centers for Medicare & Medicaid Services	Looks good	—	17 KB	5	5
https://www.cms.gov/medicare-coverage-database/img/help/search-licenseagreement.png	Search page license agreement	Looks good	—	15 KB	5	5
https://www.cms.gov/icd10m/FY2026-fr-v43.1-fullcode-cms/fullcode_cms/cms-site-logo.png	missing	Missing alt	—	13 KB	5	5
https://www.cms.gov/icd10m/FY2024-version41-fullcode-cms/fullcode_cms/cms-site-logo.png	missing	Missing alt	—	13 KB	5	5
https://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/cms-site-logo.png	missing	Missing alt	—	13 KB	5	5
https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/cms-site-logo.png	missing	Missing alt	—	13 KB	5	5
https://www.cms.gov/sites/default/files/styles/desktop_width/public/2022-11/PEOG_Question%20Mark.png?itok=vrdQmUll	Question Mark	Looks good	lazy	9 KB	1	5
https://www.cms.gov/medicare-coverage-database/img/help/search-searchbox.png	Search page search box	Looks good	—	8 KB	5	5
https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/hhs_left.gif	U S Department of Health and Human Services	Looks good	—	6 KB	5	5
https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/hhs_right.gif	www.hhs.gov	Looks good	—	4 KB	5	5
https://www.cms.gov/sites/default/files/styles/desktop_width/public/2023-01/2023-icons_phone.png?itok=Xim496b8	Phone	Looks good	lazy	3 KB	1	5
https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/fwdpg.png	Next Page [Alt-n]	Looks good	—	1 KB	5	5
https://www.cms.gov/icd10m/FY2024-version41-fullcode-cms/fullcode_cms/fwdpg.png	Next Page [Alt-n]	Looks good	—	1 KB	5	5
https://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/fwdpg.png	Next Page [Alt-n]	Looks good	—	1 KB	5	5
https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/fwdpg.png	Next Page [Alt-n]	Looks good	—	1 KB	5	5
https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/bakpg.png	Previous Page [Alt-p]	Looks good	—	1 KB	5	5
https://www.cms.gov/icd10m/FY2024-version41-fullcode-cms/fullcode_cms/bakpg.png	Previous Page [Alt-p]	Looks good	—	1 KB	5	5
https://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/bakpg.png	Previous Page [Alt-p]	Looks good	—	1 KB	5	5
https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/bakpg.png	Previous Page [Alt-p]	Looks good	—	1 KB	5	5
https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/uptop.png	Up a level [Alt-u]	Looks good	—	1 KB	5	5
https://www.cms.gov/icd10m/FY2024-version41-fullcode-cms/fullcode_cms/uptop.png	Up a level [Alt-u]	Looks good	—	1 KB	5	5
https://www.cms.gov/icd10m/version37-fullcode-cms/fullcode_cms/uptop.png	Up a level [Alt-u]	Looks good	—	1 KB	5	5
https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/uptop.png	Up a level [Alt-u]	Looks good	—	1 KB	5	5
https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/mail_16.gif	Email Page	Looks good	—	0 KB	5	5
https://www.cms.gov/icd10m/version33-fullcode-cms/fullcode_cms/print_16.gif	Print Page	Looks good	—	0 KB	5	5
https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/cms-site-logo.png	missing	Missing alt	—	13 KB	4	4
https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/cms-site-logo.png	missing	Missing alt	—	13 KB	4	4
https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/cms-site-logo.png	missing	Missing alt	—	13 KB	4	4
https://www.cms.gov/sites/default/files/styles/cms_circular_card_350_x_350/public/2024-09/new-spotlight-image.png?itok=aWh332jA	Iconographic bullhorn on yellow background	Looks good	lazy	8 KB	4	4
https://www.cms.gov/sites/default/files/styles/desktop_width/public/2023-01/2023-icons_Online.png?itok=q4P1BiFS	Laptop	Looks good	lazy	1 KB	1	4
https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/fwdpg.png	Next Page [Alt-n]	Looks good	—	1 KB	4	4
https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/fwdpg.png	Next Page [Alt-n]	Looks good	—	1 KB	4	4
https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/bakpg.png	Previous Page [Alt-p]	Looks good	—	1 KB	4	4
https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/uptop.png	Up a level [Alt-u]	Looks good	—	1 KB	4	4
https://www.cms.gov/medicare-coverage-database/img/bene-profile4.png	decorative	Decorative	—	75 KB	3	3
https://www.cms.gov/sites/default/files/styles/desktop_width/public/2024-10/logo-vaccinesgov.png?itok=tyuvsupD	Vaccines.gov your best shot at good health	Looks good	lazy	20 KB	3	3
https://www.cms.gov/sites/default/files/styles/desktop_width/public/2024-10/logo-million-hearts.png?itok=qqNjd3ri	Million Hearts Get Involved Logo	Looks good	lazy	7 KB	3	3
https://www.cms.gov/sites/default/files/styles/desktop_width/public/2024-10/logo-healthcare.png?itok=QXB0u0ET	Healthcare.gov	Looks good	lazy	6 KB	3	3
https://www.cms.gov/sites/default/files/styles/desktop_width/public/2024-10/logo-flugov.png?itok=rkoedWaN	Flu.gov	Looks good	lazy	6 KB	3	3
https://www.cms.gov/sites/default/files/styles/desktop_width/public/2022-08/NCCI-Medicare-icon.png?itok=IFbiE1xv	caduceus	Looks good	lazy	2 KB	3	3
https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/bakpg.png	Previous Page [Alt-p]	Looks good	—	1 KB	3	3
https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/uptop.png	Up a level [Alt-u]	Looks good	—	1 KB	3	3
https://www.cms.gov/files/image/resources-language-banner-1600.png-0	Photo of group of doctors in coversation	Redundant / meaningless	—	2.9 MB	2	2
https://www.cms.gov/medicare-coverage-database/img/bene-profile3.png	decorative	Decorative	—	101 KB	2	2
https://www.cms.gov/sites/default/files/styles/desktop_width/public/2023-05/mbr-illustration-phone-support-320_0.png?itok=1LV40_IG	decorative	Decorative	lazy	78 KB	2	2
https://www.cms.gov/sites/default/files/styles/desktop_width/public/2020-09/CMS_CLIA_Web_Banner_710X88.png?itok=Tj9PIcxu	Pay CLIA Fees Online	Looks good	lazy	72 KB	2	2
https://www.cms.gov/widgets/cms_badge_final.jpg	From Coverage to Care	Looks good	—	42 KB	2	2
https://www.cms.gov/sites/default/files/styles/cms_circular_card_350_x_350/public/2025-09/mln-connects-envelope-icon-2025refresh_0.png?h=c10a13fc&itok=8jUMld0g	MLN Connects Envelope Icon	Looks good	lazy	27 KB	2	2
https://www.cms.gov/sites/default/files/styles/desktop_width/public/2020-09/CMS_CLIA_Quick_Start_Web_Button_710X88.jpg?itok=F5id8QBz	CMS CLIA Quick Start Guide Web Banner	Looks good	lazy	19 KB	2	2
https://www.cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/cms-site-logo.png	missing	Missing alt	—	13 KB	2	2
https://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/cms-site-logo.png	missing	Missing alt	—	13 KB	2	2
https://www.cms.gov/sites/default/files/styles/desktop_width/public/2020-06/DSP-icon-70.png?itok=OWgwtgcJ	Image Depicting a Home Page	Looks good	lazy	6 KB	2	2
https://www.cms.gov/research-statistics-data-and-systems/cms-information-technology/sparc/other-content-types/emailicon.png	Email a question	Looks good	—	5 KB	2	2
https://www.cms.gov/sites/default/files/styles/desktop_width/public/2021-09/CPI%20Prior%20Auth%20Caduceus.png?itok=sgO44WUa	icon of caduceus	Redundant / meaningless	lazy	3 KB	1	2
https://www.cms.gov/sites/default/files/styles/desktop_width/public/2021-09/CPI%20Prior%20Auth%20Wheelchair.png?itok=23-o7hCp	icon of wheelchair	Redundant / meaningless	lazy	2 KB	1	2
https://www.cms.gov/sites/default/files/styles/desktop_width/public/2021-09/CPI%20Prior%20Auth%20Medical%20Kit.png?itok=PZfJFBMu	icon of medical bag	Redundant / meaningless	lazy	1 KB	1	2
https://www.cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/fwdpg.png	Next Page [Alt-n]	Looks good	—	1 KB	2	2
https://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/fwdpg.png	Next Page [Alt-n]	Looks good	—	1 KB	2	2
https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/fwdpg.png	Next Page [Alt-n]	Looks good	—	1 KB	1	2
https://www.cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/bakpg.png	Previous Page [Alt-p]	Looks good	—	1 KB	2	2
https://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/bakpg.png	Previous Page [Alt-p]	Looks good	—	1 KB	2	2
https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/bakpg.png	Previous Page [Alt-p]	Looks good	—	1 KB	1	2
https://www.cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/uptop.png	Up a level [Alt-u]	Looks good	—	1 KB	2	2
https://www.cms.gov/icd10m/version%20371r1-fullcode-cms/fullcode_cms/uptop.png	Up a level [Alt-u]	Looks good	—	1 KB	2	2
https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/uptop.png	Up a level [Alt-u]	Looks good	—	1 KB	1	2
https://www.cms.gov/sites/default/files/styles/desktop_width/public/2021-02/cauc-man-disability-computer.png?itok=BrVXSAZ8	man with disability using computer	Looks good	lazy	1.6 MB	1	1
https://www.cms.gov/sites/default/files/styles/desktop_width/public/2021-11/HFPP%20Benefits%20of%20Membership%20Video%20Thumnail.png?itok=7nvugru7	Image Depicting a Video About the Benefits of HFPP Membership	Looks good	lazy	776 KB	1	1
https://www.cms.gov/sites/default/files/2025-04/droz-portrait-final-w-flag.jpg	Dr. Mehmet Oz	Looks good	lazy	606 KB	1	1
https://www.cms.gov/themes/custom/cms_evo/images/hero-newsroom-photo.png	healthcare worker holding a pen and clipboard	Looks good	—	587 KB	1	1
https://www.cms.gov/sites/default/files/styles/desktop_width/public/2022-06/5b_Health_Equity_Data_Access_Program_772X211.png?itok=C-HDHNpd	Banner of cartoon computer next to Two Female Scientists Look at Clipboard	Looks good	lazy	380 KB	1	1
https://www.cms.gov/medicare-coverage-database/img/help/ncta-link-circle.png	National Coverage Technology Assessments Report ID link column highlighted	Looks good	—	375 KB	1	1
https://www.cms.gov/medicare-coverage-database/img/help/nc-ta-additional.png	National Coverage Technology Assessments Report additional features at the bottom highlighted	Looks good	—	374 KB	1	1
https://www.cms.gov/medicare-coverage-database/img/help/ncta-reportdata-circle.png	National Coverage Technology Assessments Report table highlighted	Looks good	—	374 KB	1	1
https://www.cms.gov/medicare-coverage-database/img/help/ncta-basket-circle.png	National Coverage Technology Assessments Report basket column highlighted	Looks good	—	374 KB	1	1
https://www.cms.gov/medicare-coverage-database/img/help/ncta-filterbar-circle.png	National Coverage Technology Assessments Report filter bar highlighted	Looks good	—	374 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image050gif.gif	Page 537. Table 2. Clinical outcomes. Holmes DR et al. Percutaneous closure of the left atrial appendage versus warfarin therapy for prevention of stroke in patients with atrial fibrillation: a randomized non-inferiority trial. Lancet 2009;374:534-42.	Too long	—	83 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image086gif.gif	Page 35. Table 22: PROTECT AF first major bleeding events.	Looks good	—	79 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image060gif.gif	Page 1993. Table 2. Intention-to-treat primary efficacy and safety outcomes according to treatment group by Bayesian model. Reddy VK et al. Percutaneous left atrial appendage closure vs warfarin for atrial fibrillation. A randomized clinical trial. JAMA 2014;312(19):1988-1998.	Too long	—	74 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image018gif.gif	Page 13. Table 4: Patient Assessments. This table depicts the baseline and follow-up assessment for the WATCHMAN and control groups. FDA Executive Summary Memorandum. Prepared for the April 23, 2009 meeting of the Circulatory System Devices Advisory Panel. P080022. WATCHMAN LAA Closure Technology, Atritech, Inc.	Too long	—	74 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image062gif.gif	Page 1996. Table 5. Primary efficacy and safety outcomes, according to secondary analyses by Cox proportional hazards model. Reddy VK et al. Percutaneous left atrial appendage closure vs warfarin for atrial fibrillation. A randomized clinical trial. JAMA 2014;312(19):1988-1998.	Too long	—	66 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image004gif.gif	Page 2066. Table 1. Definition of stroke. Sacco et al. An updated definition of stroke for the 21st century. A statement for healthcare professionals from the American Heart Association and the American Stroke Association. Stroke 2013;44:2064-2089.	Too long	—	61 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image020gif.gif	Page 17. Table 5: Baseline demographics based on 900-patient year analysis. This table includes a comparison of age, gender, race, height and weight between the WATCHMAN and control groups. FDA Executive Summary Memorandum. Prepared for the April 23, 2009 meeting of the Circulatory System Devices Advisory Panel. P080022. WATCHMAN LAA Closure Technology, Atritech, Inc.	Too long	—	57 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image076gif.gif	Page 16. Table 4: PREVAIL second primary endpoint.	Looks good	—	56 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image016gif.gif	Page 16. Figure 2: Patient Accountability. This figure represents the total number of patients enrolled in the trial and how many patients were randomized to the WATCHMAN and control arms. For device patients, implant attempts are also depicted. FDA Executive Summary Memorandum. Prepared for the April 23, 2009 meeting of the Circulatory System Devices Advisory Panel. P080022. WATCHMAN LAA Closure Technology, Atritech, Inc.	Too long	—	55 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image084gif.gif	Page 34. Table 21: PREVAIL-only first major bleeding events. FDA Executive Summary Memorandum.	Looks good	—	54 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image090gif.gif	Page 39. Figure 8. All stroke and systemic embolism vs. time in therapeutic range (TTR) in warfarin control groups across studies.	Looks good	—	54 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image022gif.gif	Page 18. Table 6: Baseline risk factors based on 900-patient year analysis. This table includes a comparison of numerous baseline risk factors between the WATCHMAN and control groups. FDA Executive Summary Memorandum. Prepared for the April 23, 2009 meeting of the Circulatory System Devices Advisory Panel. P080022. WATCHMAN LAA Closure Technology, Atritech, Inc.	Too long	—	50 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image096gif.gif	Table 2. Outcome of LAA occlusion.	Looks good	—	50 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image058gif.gif	Page 1991. Figure 1. Patient flow in the PROTECT AF trial. Reddy VK et al. Percutaneous left atrial appendage closure vs warfarin for atrial fibrillation. A randomized clinical trial. JAMA 2014;312(19):1988-1998.	Looks good	—	50 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image012gif.gif	Page 1953. Table 2. Summary of guideline recommendations. Lip and Lane. Stroke prevention in atrial fibrillation. A systematic review. JAMA 2015;313 (19):1950-1962.	Looks good	—	49 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image098gif.gif	age 42. Algorithm 1: Stroke prevention of people with non valvular AF.	Looks good	—	46 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image064gif.gif	Page 1994. Table 3. Causes of mortality by treatment group. Reddy VK et al. Percutaneous left atrial appendage closure vs warfarin for atrial fibrillation. A randomized clinical trial. JAMA 2014;312(19):1988-1998. DOI:10.1001/jama.2014.15192	Looks good	—	45 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image014gif.gif	Page 957. Table 1. Fountain et al. The PROTECT AF (WATCHMAN left atrial appendage system for embolic PROTECTion in patients with atrial fibrillation) trial. American Heart Journal 2009; 151(5): 957-961.	Looks good	—	41 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image074gif.gif	Page 15. Table 3: PREVAIL first primary endpoint.	Looks good	—	40 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image026gif.gif	Page 21. Table 9. Event rates for components of the primary effectiveness endpoint (ITT). This table includes reporting of the percentage of randomized patients in both the WATCHMAN and control groups who had stroke, systemic embolic events, or died. FDA Executive Summary Memorandum. Prepared for the April 23, 2009 meeting of the Circulatory System Devices Advisory Panel. P080022. WATCHMAN LAA Closure Technology, Atritech, Inc.	Too long	—	40 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image024gif.gif	Page 19. Table 7: Primary Effectiveness Endpoint(ITT). This table depicts the Bayesian analysis primary effectiveness results for the 600 and 900 patient-year cohorts. FDA Executive Summary Memorandum. Prepared for the April 23, 2009 meeting of the Circulatory System Devices Advisory Panel. P080022. WATCHMAN LAA Closure Technology, Atritech, Inc.	Too long	—	39 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image010gif.gif	Page 1952. Table 1. Risk factors included in various clinical stroke risk stratification schema and guidelines. Lip and Lane. Stroke prevention in atrial fibrillation. A systematic review. JAMA 2015;313 (19):1950-1962.	Looks good	—	37 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image078gif.gif	Page 29. Table 17: Ischemic stroke and systemic embolism across WATCHMAN studies.	Looks good	—	37 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image066gif.gif	Page 1995. Table 4. Individual components of the primary safety end point by treatment group. Reddy VK et al. Percutaneous left atrial appendage closure vs warfarin for atrial fibrillation. A randomized clinical trial. JAMA 2014;312(19):1988-1998.	Too long	—	36 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image068gif.gif	Page 4. Table 6. Demographic characteristics of patients receiving the WATCHMAN device in PROTECT AF, CAP, and PREVAIL.	Looks good	—	35 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image048gif.gif	Page 535. Figure 1: Trial profile Holmes DR et al. Percutaneous closure of the left atrial appendage versus warfarin therapy for prevention of stroke in patients with atrial fibrillation: a randomized non-inferiority trial. Lancet 2009;374:534-42.	Looks good	—	32 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image088gif.gif	Page 36. Table 24: Cardiovascular/unexplained deaths across WATCHMAN studies.	Looks good	—	31 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image056gif.gif	Page 723. Table 2. Efficacy and safety results.	Looks good	—	31 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image082gif.gif	Page 31. Table 20: Hemorragic stroke rates in warfarin control groups in contemporary anticoagulation trials (FDA analysis).	Looks good	—	30 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image072gif.gif	Page 43. Table 37: PROTECT AF subject withdrawal and lost to follow-up.	Looks good	—	30 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image094gif.gif	Page 2620. Figure 2. PROTECT AF/PREVAIL combined meta-analysis shows comparable primary efficacy results to warfarin.	Looks good	—	30 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image092gif.gif	Page 2618. Table 1. PROTECT AF and CAP: largest data sets to evaluate totality of data.	Looks good	—	27 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image080gif.gif	Page 30. Table 18: Hemorrhagic stroke across WATCHMAN studies.	Looks good	—	26 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image054gif.gif	Page 419. Table 2. Safety event rates in PROTECT AF and CAP.	Looks good	—	25 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image046gif.gif	Page 34. Table 25-1: Device primary safety endpoint by warfarin discontinuation status at the 45 day visit (= 60 days after implantation (for patients who had warfarin discontinuation information recorded) (600 patient years dataset, FDA’s calculation	Too long	—	25 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image006gif.gif	Page 2253. Table 3. Definitions of AF: A simplified scheme. January et al. 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol 2014;64:2246–80.	Too long	—	25 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id58gif.gif	figure 1	Looks good	—	24 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image032gif.gif	Page 26. Table 13: Warfarin discontinuation from date of implantation – device arm (FDA’s calculation). This table depicts reasons for discontinuation of warfarin in the device arm and the number of patients in each category. FDA Executive Summary Memorandum. Prepared for the April 23, 2009 meeting of the Circulatory System Devices Advisory Panel. P080022. WATCHMAN LAA Closure Technology, Atritech, Inc.	Too long	—	24 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image042gif.gif	Page 32. Table 21: Safety events by type (ITT analysis – 900 patient-year cohort). This table includes the number of patients in the WATCHMAN and the control arms with different types of safety events. FDA Executive Summary Memorandum. Prepared for the April 23, 2009 meeting of the Circulatory System Devices Advisory Panel. P080022. WATCHMAN LAA Closure Technology, Atritech, Inc.	Too long	—	23 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image034gif.gif	Page 26. Table 14: Warfarin discontinuation – control arm (FDA’s calculation). This table depicts reasons for discontinuation of warfarin in the control arm and the number of patients in each category. FDA Executive Summary Memorandum. Prepared for the April 23, 2009 meeting of the Circulatory System Devices Advisory Panel. P080022. WATCHMAN LAA Closure Technology, Atritech, Inc.	Too long	—	21 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image102gif.gif	Page 624. Table 1. Review of published reports detailing the frequency and site of thrombus location in patients with nonrheumatic atrial fibrillation.	Looks good	—	20 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image070gif.gif	Page 27. Table 11: Second primary endpoint events by type (ITT).	Looks good	—	19 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image038gif.gif	Page 29. Table 18: Percent of time with INR 2.0 – 3.0. This table includes the mean, median, maximum and minimum patient-years for which patients were within therapeutic INR range. FDA Executive Summary Memorandum. Prepared for the April 23, 2009 meeting of the Circulatory System Devices Advisory Panel. P080022. WATCHMAN LAA Closure Technology, Atritech, Inc.	Too long	—	15 KB	1	1
https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image040gif.gif	Page 30. Table 19: Primary safety endpoint (ITT). This table depicts the Bayesian analysis primary safety results for the 600 and 900-patient year cohorts. FDA Executive Summary Memorandum. Prepared for the April 23, 2009 meeting of the Circulatory System Devices Advisory Panel. P080022. WATCHMAN LAA Closure Technology, Atritech, Inc.	Too long	—	15 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image044gif.gif	Page 33. Table 22: Number of patients with multiple safety events. This table includes the number of patients in the WATCHMAN and control cohorts who had 1,2, and 3 events for both the 600 and 900-patient year analysis. FDA Executive Summary Memorandum. Prepared for the April 23, 2009 meeting of the Circulatory System Devices Advisory Panel. P080022. WATCHMAN LAA Closure Technology, Atritech, Inc.	Too long	—	15 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image036gif.gif	Page 28. Table 16: Device ischemic strokes and systemic emboli categorized by procedure-related and warfarin status. This table[s] depicts the number of pre-procedure events, events temporally related to the procedure, and events not temporally related to the procedure, including which events occurred on and off warfarin. FDA Executive Summary Memorandum. Prepared for the April 23, 2009 meeting of the Circulatory System Devices Advisory Panel. P080022. WATCHMAN LAA Closure Technology, Atritech, Inc.	Too long	—	13 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image008gif.gif	Page 3106. Table 2. Attributable Risk (%) for ischemic stroke in relation to age. Björck et al. Atrial fibrillation, stroke risk, and warfarin therapy revisited: a population-based study. Stroke. 2013;44:3103-3108.	Looks good	—	11 KB	1	1
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https://www.cms.gov/medicare/coverage/determinationprocess/other-content-types/id281image052gif.gif	Page 419. Table 1. Baseline patient demographics.	Looks good	—	9 KB	1	1
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