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IgG Antibody to SARS-CoV-2 (Spike Protein) - Serological Test

Published: August 9, 2026Updated: August 16, 2026

This test measures the presence of IgG antibodies against the spike protein of SARS-CoV-2, the virus responsible for COVID-19. These antibodies develop after infection or vaccination and can indicate past exposure or immunity.

Quick summary

["IgG antibodies may help confirm past COVID-19 infection or assess immunity after vaccination."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
27435-7
Short code
Deprecated S pneum19 IgG sp1 Ser IA-mCnc
Synonyms
Deprecated S pneum19 IgG sp1 Ser IA-mCnc
Category
coagulation
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ia
CPT
82784
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What This Test Measures

IgG antibodies are a type of immune protein your body produces in response to infection or vaccination. This test specifically looks for antibodies directed against the spike protein of the SARS-CoV-2 virus. These antibodies can appear weeks to months after infection or vaccination and may persist long-term, offering clues about your immune response.

Why It’s Done

Doctors may order this test to determine if you’ve had a past COVID-19 infection or if your immune system has developed antibodies after vaccination. It can also help monitor immune response in certain clinical situations.

Sample Collection and Preparation

A blood sample is taken from a vein in your arm. The blood is processed to separate serum, which is then tested for IgG antibodies. This test does not require fasting or special preparation beyond standard blood draw procedures.

When Results Might Be Useful

Positive results suggest you’ve likely been exposed to the virus or vaccinated and developed immunity. Negative results mean you either haven’t been exposed or haven’t developed detectable antibodies yet. Results may vary depending on timing after exposure or vaccination.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

IgG antibody testing can support diagnosis of past infection, guide vaccination decisions, or assess immune status in high-risk individuals. While IgG indicates a strong immune response, it does not guarantee protection against reinfection. Interpretation should always be done by a healthcare provider in the context of your medical history and symptoms.

Short name

IgG Anti-Spike Antibody

Frequently asked questions

When would I need this test?
Your doctor may recommend this test if you’ve had COVID-19 symptoms, if you’ve been vaccinated and want to check your immune response, or if you’re in a high-risk group for complications. It’s also sometimes used to monitor immune response in research or clinical trials.
What do my results mean?
A positive result means your body has produced IgG antibodies against the virus, which may indicate past infection or vaccination. A negative result means you either haven’t been exposed or haven’t developed detectable antibodies yet. Always discuss results with your healthcare provider for personalized interpretation.
Does this test replace a COVID-19 PCR test?
No, this test measures antibodies and does not detect the virus itself. A PCR test is used to identify active infection, while antibody tests help assess past exposure or immunity. Both tests serve different purposes and may be used together in certain situations.
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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 16, 2026. · Read our editorial policy