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SARS-CoV-2 Spike (S) Receptor Binding Domain (RBD) Nucleic Acid Test, Plasma/Serum

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

This test detects genetic material from the SARS-CoV-2 virus, specifically the receptor-binding domain (RBD) of its spike protein, using plasma or serum. It helps confirm whether you have been infected with the virus that causes COVID-19.

Quick summary

["This test identifies viral genetic material—useful for diagnosing active COVID-19 infection."]

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

Key facts at a glance

LOINC
98733-9
Short code
SARS-CoV-2 S RBD NAb SerPl IA-%
Synonyms
SARS-CoV-2 S RBD NAb SerPl IA-%
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ia
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 advanced molecular techniques to search for the virus’s genetic material (nucleic acid) in your sample. If the virus is present, the test can detect its unique genetic sequence, including the RBD portion of the spike protein, which plays a key role in how the virus attaches to human cells. This helps confirm infection at the time of testing.

What to Expect Before the Test

No special preparation is needed. You may have a blood draw (plasma or serum) or a similar procedure, depending on your healthcare provider’s protocol. If you’re using a saliva sample, follow any instructions provided to ensure accuracy.

When This Test Might Be Used

Your healthcare provider may order this test if you have symptoms of COVID-19 (e.g., fever, cough, fatigue), have been exposed to someone with the virus, or are part of a screening or monitoring program. It can also be used to confirm a positive result from an antigen test.

Limitations and Considerations

This test detects viral genetic material but does not measure antibody levels (which indicate past infection or immunity). Results may be affected by factors like recent treatment, sample handling, or viral load at the time of testing. False negatives can occur if testing happens too early after exposure.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

SARS-CoV-2 RBD Nucleic Acid Test

Frequently asked questions

Why was this test ordered?
Your healthcare provider may have ordered this test to diagnose an active COVID-19 infection, confirm a suspected exposure, or monitor your status during recovery or in high-risk situations. It helps guide treatment decisions and public health measures.
What does a positive result mean?
A positive result means the test detected viral genetic material, suggesting you are currently infected with SARS-CoV-2. This does not necessarily mean you will develop symptoms or that you are contagious at the exact moment of testing, but it confirms active infection.
Can this test detect past infection?
No, this test specifically looks for viral genetic material, not antibodies. To determine if you’ve had COVID-19 before, you would need antibody tests (e.g., for IgG or IgM antibodies) or a combination of tests over time.
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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