United States – October 27, 2026 -- Computer-assisted navigation was used in 41.0% of endoscopic sinus surgeries in 2026, up from 29.2% in 2018, a 40.4% relative increase, according to a Truveta Data analysis of adult patients.
Navigation used in 35.5% of 98,971 procedures over the study period
The analysis covered endoscopic sinus surgeries performed between January 1, 2018, and August 31, 2026. Visits within 90 days of a prior surgery code were counted as a single procedure. Navigation was identified through a specific add-on CPT code.
Higher use among patients with chronic sinusitis, polyps and structural disorders
Navigation rates were higher among patients diagnosed in the two years before surgery with acute recurrent sinusitis, chronic sinusitis, nasal polyps, nasal cysts, structural sinonasal disorders, asthma or cystic fibrosis. The analysis ties this pattern to insurance authorization requirements and professional society guidelines that favor navigation in more complex cases.
Patients aged 25-44 show highest rate at 37.8%
Use peaked at 37.8% among patients aged 25-44 and 37.1% among those aged 45-64. It was lowest at 33.4% for ages 18-24 and 32.0% for patients 65 and older. The analysis attributes the age gaps to possible differences in disease presentation, insurance coverage patterns or referral pathways.
Greater system availability, surgeon training and guidelines may drive adoption
The analysis cites increased availability of navigation systems, surgeon training and evolving clinical guidelines for complex or higher-risk cases as possible contributors. Augmented reality overlays, enhanced imaging integration and early AI-assisted navigation could expand intraoperative guidance capabilities further.
Evidence on clinical benefit remains mixed. Some studies report advantages, while others find no meaningful outcome differences. The AAO-HNS and the American Rhinologic Society endorse navigation in complex cases, and surgeons report high satisfaction and reduced surgical stress.
Billing-code dependence may understate true navigation rates
The data rely on the CPT add-on code being documented, so missing or inconsistent coding could understate actual use. The analysis does not distinguish between navigation platforms or technology generations, or whether prior authorization was obtained. The findings are preliminary and not peer reviewed, and reflect data accessed on September 8, 2026.