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Understanding Your Laboratory Test: A Patient Guide to Testing, Sample Collection, and Results

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

This test detects antibodies against Borrelia burgdorferi (Lyme disease bacteria) in cerebrospinal fluid to help diagnose if Lyme disease has affected the nervous system.

Quick summary

{"This test checks for Lyme disease antibodies in the fluid surrounding your brain and spinal cord","A positive result may indicate that Lyme disease has spread to the nervous system","The test uses a specific C6 protein from the Lyme disease bacteria","Your healthcare provider may order this if you have neurological symptoms and potential Lyme disease exposure","Results should be interpreted together with your symptoms and other test results"}

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

Key facts at a glance

LOINC
38174-9
Short code
BBC6CSF
Synonyms
B burgdor C6 Ab CSF IA-aCnc
Category
chemistry
Sample
csf
Container
Sterile CSF collection tubes (polypropylene); tube #2 or #4 typically preferred for microbiology and immunology testing to minimize blood contamination
Units
N/A
Ref low
0
Ref high
4.9
Critical range
— – 10 N/A
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Immunoassay (Enzyme-linked immunosorbent assay detecting C6 peptide antibodies)
CPT
86617
SNOMED
115006000
Specimen volume
0.5-1.0 mL of cerebrospinal fluid
Stability
Room temperature: 2 hours; Refrigerated (2-8°C): 24-48 hours; Frozen (-20°C or below): up to 30 days. Avoid repeated freeze-thaw cycles.
Hemolysis max
200
TAT
24–72 hours
Order
routine

This test analyzes a sample taken from your body so your healthcare provider can check how well certain organs are working, screen for possible health problems, or monitor a condition you already have. Laboratory testing is a common, safe, and reliable way to gather important information about your overall health.

The Borrelia burgdorferi C6 Antibody test is a specialized blood test that looks for antibodies against the bacteria that cause Lyme disease in your cerebrospinal fluid (CSF). CSF is the clear fluid that surrounds and protects your brain and spinal cord. This test helps doctors determine if Lyme disease has affected your nervous system.

Your doctor may order this test if you have symptoms that need an explanation, as part of a routine checkup, to screen for a condition before symptoms appear, before a procedure, or to see how well a treatment is working over time. It can also be repeated to track changes in your health.

Your healthcare provider may order this test if you have symptoms suggesting neurological Lyme disease, such as severe headaches, facial drooping, numbness, tingling, or muscle weakness. This is particularly likely if you have been in an area where Lyme disease is common or if you remember being bitten by a tick.

The sample is usually collected from a vein in your arm with a small needle, through a quick finger stick, or from a urine specimen, depending on what your provider has ordered. The collection typically takes only a few minutes, and most people can return to their normal activities right afterward.

A healthcare provider will perform a lumbar puncture (spinal tap) to collect a small sample of cerebrospinal fluid. This procedure involves inserting a thin needle into the lower back to withdraw fluid. The sample is then sent to a laboratory for analysis.

Your results show whether your values fall within the normal reference range for this test. A result that is higher or lower than expected may point to a condition that needs further evaluation, but only your healthcare provider can interpret the numbers alongside your symptoms, medical history, and other test findings.

A positive result suggests that your immune system has produced antibodies against the Lyme disease bacteria and that the infection may have reached your nervous system. A negative result does not completely rule out Lyme disease, as antibodies may not be present in the early stages or the test may not detect all cases. Your doctor will interpret the results along with your symptoms, medical history, and other test results.

Reference range

Negative: <5.0 Units (or per laboratory-specific reference); Equivocal: 5.0-9.9 Units; Positive: ≥10.0 Units. Results should be interpreted in conjunction with clinical findings and other diagnostic criteria for neuroborreliosis.N/A

Specimen: csf

No special patient preparation required. Lumbar puncture should be performed under sterile conditions by qualified personnel. Inform the ordering physician of any anticoagulant therapy, bleeding disorders, or recent spinal procedures prior to collection.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test is primarily used to diagnose neurological involvement in Lyme disease, including conditions such as Lyme neuroborreliosis, meningitis, and facial palsy due to Lyme disease. It helps differentiate Lyme disease-related neurological symptoms from other conditions. Early detection and treatment of neurological Lyme disease is important to prevent long-term complications.

Frequently asked questions

Does a positive result mean I definitely have neurological Lyme disease?
Not necessarily. A positive result indicates that antibodies were detected in your cerebrospinal fluid, which suggests exposure to the Lyme disease bacteria. Your healthcare provider will consider your symptoms, when they started, potential tick exposure, and results from other tests to make a definitive diagnosis.
Why is this test done on cerebrospinal fluid rather than blood?
Testing cerebrospinal fluid provides more direct evidence of whether the Lyme disease bacteria have affected the central nervous system. While blood tests can show if you've been exposed to Lyme disease, CSF testing helps determine if the infection has spread to the brain or spinal cord.
How long does it take to get results?
Results are typically available within a few days to a week, depending on the laboratory. Your healthcare provider will contact you with the results and discuss what they mean for your care.
What happens if the test is positive?
If the test is positive, your healthcare provider will typically recommend antibiotic treatment specifically designed for neurological Lyme disease. Treatment usually involves intravenous (IV) antibiotics for several weeks. Early treatment is generally more effective.
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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