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SARS-CoV-2 Nucleocapsid Protein (ORF1ab) Antigen Test, Respiratory Specimen

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

This test detects the presence of SARS-CoV-2 nucleocapsid protein in your respiratory secretions, such as nasal or throat swabs. It helps identify if you may have an active infection with the virus responsible for COVID-19.

Quick summary

["This test can quickly determine if you might be contagious with COVID-19."]

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

Key facts at a glance

LOINC
97104-4
Short code
SARS-CoV-2 ORF1ab U resp NAA+probe-aCnc
Synonyms
SARS-CoV-2 ORF1ab U resp NAA+probe-aCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
probe-amp-tar
CPT
86430
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

How the Test Works

The test uses a specialized probe to detect specific viral proteins in your respiratory sample. If the virus is present, the test will show a positive result, indicating possible infection. This method is designed to be rapid and often provides results within minutes.

What to Expect Before the Test

You may have a nasal or throat swab inserted to collect a sample of respiratory secretions. This is usually quick and painless. Avoid eating, drinking, or smoking for at least 30 minutes before the test if instructed by your healthcare provider.

What to Expect After the Test

After the test, you may experience mild discomfort or irritation from the swab. You can resume normal activities immediately. Follow any specific instructions your healthcare provider gives you regarding follow-up care.

When This Test Might Be Ordered

Your healthcare provider may order this test if you have symptoms of COVID-19, such as fever, cough, shortness of breath, or loss of taste/smell. It may also be used as part of screening in high-risk settings or for monitoring exposure.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A positive result suggests the presence of SARS-CoV-2 nucleocapsid protein, indicating an active infection. This test is particularly useful for rapid diagnosis and guiding isolation and treatment decisions. However, it may not detect all cases of infection, especially if the virus levels are low. A negative result does not definitively rule out infection, particularly if symptoms persist or if testing was done too early in the illness.

Short name

Nucleocapsid Antigen Test (Respiratory)

Frequently asked questions

What does a positive result mean?
A positive result means that the test detected the viral protein in your respiratory sample, which suggests you may have an active COVID-19 infection. This can help determine if you should isolate from others and seek further medical advice.
Can I get this test at home?
Some at-home COVID-19 antigen tests detect a different viral protein (spike protein) and are not the same as this laboratory test. This specific test is typically performed in a clinical setting by a healthcare professional.
How soon after infection can I get a positive result?
Antigen tests, including this one, are designed to detect the virus more quickly than PCR tests, often within a few days of symptom onset. However, results may be less sensitive in the earliest stages of infection.
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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