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Serum/Plasma Immunoassay for Anti-SARS-CoV-2 Nucleocapsid Antibodies (Qualitative)

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

This test measures whether your immune system has produced antibodies against the SARS-CoV-2 virus’s nucleocapsid protein, which helps determine past infection with COVID-19.

Quick summary

["This test helps confirm if you’ve been infected by the virus that causes COVID-19, even if you no longer have active symptoms."]

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

Key facts at a glance

LOINC
14023-6
Short code
HTLV I+II p28 Ab Ser Ql IB
Synonyms
HTLV I+II p28 Ab Ser Ql IB
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ib
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

Why This Test Is Done

Doctors may order this test to investigate a history of COVID-19 symptoms, confirm past infection for research or vaccine studies, or assess immune response after recovery. It can also be used in screening for antibody presence in blood donations or research settings.

How the Test Works

A small blood sample is taken from your arm and sent to a lab. The test uses an immunoassay method to detect antibodies specific to the nucleocapsid protein of SARS-CoV-2. The result is qualitative, meaning it only indicates whether antibodies are present or not.

What to Expect Before the Test

No special preparation is needed. You may have a slight bruise or soreness at the injection site, but this usually fades quickly. If you’re on blood-thinning medication, let your doctor know before the test.

What to Expect After the Test

You can return to your normal activities immediately. If you experience excessive bleeding, swelling, or signs of infection (like fever or redness), contact your healthcare provider right away.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Positive results indicate the presence of antibodies against the nucleocapsid protein, suggesting prior infection with SARS-CoV-2. These antibodies can persist for months or years, helping track immunity or exposure history. However, they do not distinguish between infections from different variants or indicate current infection status. Negative results mean no detectable antibodies were found, which may mean you were never infected or the test was taken too early after exposure.

Short name

Anti-Nucleocapsid Antibody Test

Frequently asked questions

When Might I Need This Test?
This test is often used in research studies, vaccine trials, or for individuals who have had COVID-19 symptoms but test negative for active infection. It can also be part of donor screening or for assessing immune response in certain clinical situations.
What Does a Positive Result Mean?
A positive result means your immune system has likely encountered the SARS-CoV-2 virus before, producing antibodies against its nucleocapsid protein. This does not guarantee immunity to future infections but confirms past exposure.
What Does a Negative Result Mean?
No, this test only detects antibodies produced after an infection has occurred. For diagnosing active COVID-19, other tests like PCR or antigen tests are used instead.
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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