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IgG Anti-Coronavirus Nucleocapsid Antibody (Serum) - Confirmatory

Published: August 9, 2026Updated: August 15, 2026

This test measures the presence of antibodies against the nucleocapsid protein of a coronavirus in your blood, confirming past infection.

Quick summary

["This test helps determine if you’ve had an infection with a coronavirus, such as SARS-CoV-2, by detecting immune system responses."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 15, 2026Editorial policy

Key facts at a glance

LOINC
7832-9
Short code
COX2IGM
Synonyms
C burnet Ph2 IgM Ser-aCnc
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or red-top tube
Units
N/A
Ref low
2
Ref high
3
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Immunofluorescence assay (IFA)
CPT
86638
SNOMED
122512009
Specimen volume
1-2 mL serum (minimum 0.5 mL)
Stability
Room temperature: 8 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 30 days. Avoid repeated freeze-thaw cycles.
Hemolysis max
100
Lipemia max
100
Icterus max
50
TAT
48–168 hours
Order
routine

What Does This Test Measure?

The test detects IgG antibodies specific to the nucleocapsid protein of the virus. IgG antibodies are part of your immune system’s long-term response to infection. If present, they suggest your body has recognized and fought off the virus at some point.

Why Might You Need This Test?

This test may be used to confirm past infection with a coronavirus, especially if you’ve had symptoms like fever, cough, or shortness of breath, or if you’ve been exposed to someone with the virus. It can also help monitor immune responses in certain clinical settings.

How Is the Test Performed?

A blood sample is taken from a vein in your arm. The serum portion of your blood is then tested for IgG antibodies using a confirmatory immunoassay method.

What Are the Possible Results?

A positive result indicates the presence of IgG antibodies against the nucleocapsid protein, suggesting past infection. A negative result means no detectable antibodies were found, which may indicate no prior infection or insufficient immune response to detect.

Reference range

Negative: <1:16 (Phase 2 IgM antibodies not detected). Phase 2 IgM antibodies appear in the first 2-3 weeks of acute Q fever infection and typically decline within 12-16 weeks. A titer of ≥1:50 is considered presumptive evidence of recent acute infection.N/A

Specimen: serum

No fasting required. Sample should be collected prior to antibiotic administration when possible to avoid false-negative results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

IgG Anti-N Antibody (Confirm)

Frequently asked questions

What does a positive result mean?
A positive result suggests you have developed IgG antibodies against the nucleocapsid protein of the virus, indicating your body has likely encountered the virus before. This does not necessarily mean you are currently infected but confirms exposure and immune response. It can be useful for understanding past infection status, especially in public health or research contexts.
What does a negative result mean?
A negative result means no detectable IgG antibodies were found in your blood sample. This could mean you have not had a past infection with this specific coronavirus or that your immune system has not yet developed detectable antibodies. It does not rule out other possible infections or immune conditions.
How long do IgG antibodies last?
IgG antibodies can persist in your body for months to years after infection. However, their levels may decrease over time, and they may not be detectable in future tests if the infection was a long time ago or if your immune system has not mounted a strong response.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 15, 2026. · Read our editorial policy