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

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 a serum or plasma sample. It helps confirm whether you have been infected with the virus at some point.

Quick summary

["This test supports diagnosis of past COVID-19 infection by identifying viral genetic material."]

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

Key facts at a glance

LOINC
98734-7
Short code
SARS-CoV-2 S RBD NAb SerPl IA-aCnc
Synonyms
SARS-CoV-2 S RBD NAb SerPl IA-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
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

What This Test Measures

The test looks for the genetic sequence of the RBD region of the SARS-CoV-2 virus spike protein. This part of the virus binds to human cells to enter them, making it a key target for detection. The presence of this genetic material indicates past infection, as the virus has been eliminated by your immune system but its genetic code remains detectable in your blood.

Why It’s Done

Doctors may order this test if you have had symptoms of COVID-19 (such as fever, cough, or fatigue) and want to confirm past infection, even if you tested negative with other types of tests. It can also be used in research or surveillance settings to track virus presence.

Sample Collection and Preparation

A blood sample is drawn from your arm, and the serum or plasma portion is separated for testing. This sample is sent to a lab where genetic material is extracted and analyzed for the RBD sequence.

What to Expect Before the Test

No special preparation is needed. You may eat and drink normally before the blood draw. If you’re on blood-thinning medication, inform your healthcare provider beforehand.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

SARS-CoV-2 RBD NA Test

Frequently asked questions

This test is primarily used to detect past infection rather than active illness. Unlike antigen or antibody tests, it identifies genetic material that may linger after the virus has been cleared. It’s particularly useful for research, vaccine studies, or identifying individuals who may have been exposed but remain asymptomatic.
This test does not indicate current infection status and may not be as sensitive as newer diagnostic tests for active COVID-19. Results should be interpreted by a healthcare provider in the context of your symptoms and medical history.
How long does it take to get results?
Results are typically available within 24 to 72 hours, depending on lab processing times. Your healthcare provider will contact you with the results once they are ready.
Can this test be used to determine immunity?
No, this test does not measure immunity. It only detects past infection by identifying viral genetic material. For information about immunity, antibody tests or vaccination status are needed.
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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