Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already indicate readOnlyHint, idempotentHint, and openWorldHint=false. The description adds useful behavioral context by specifying that results appear in 'items' and what each hit contains, including coding flags, outpatient surgery information, and DKR/SEG-4 references. This goes beyond the annotations without contradicting them.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.