Skip to content

Bburgdorigaseracnc

Published: August 9, 2026Updated: August 15, 2026

A blood test that measures IgA antibodies against Borrelia burgdorferi, the bacterium that causes Lyme disease.

Quick summary

{"This test detects IgA antibodies to Lyme disease bacteria in your blood","It helps diagnose Lyme disease, especially in later stages of infection","A small blood sample is drawn from your arm for this test","Results are typically reported as positive or negative","Results should be interpreted alongside your symptoms and exposure history"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 15, 2026Editorial policy

Key facts at a glance

LOINC
46174-9
Short code
LYMEIGA
Synonyms
B burgdor IgA Ser-aCnc
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or red-top tube
Units
N/A
Ref low
0.8
Ref high
1.1
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Enzyme Immunoassay (EIA) or Immunofluorescence Assay (IFA); confirmation by Western Blot
CPT
86618
SNOMED
415684003
Specimen volume
1.0 mL serum (minimum 0.5 mL)
Stability
Stable for 7 days at 2-8°C; for longer storage, freeze at -20°C or below
Hemolysis max
100
Lipemia max
100
Icterus max
50
TAT
24–72 hours
Order
routine

What is this test?

The Borrelia burgdorferi IgA Antibody test is a blood test that detects IgA class antibodies against the bacteria that cause Lyme disease. IgA antibodies are one of the body's first immune responses to infection and are found in mucous membranes and blood. This test specifically looks for these antibodies in your serum (the liquid part of your blood).

Why is this test performed?

This test is primarily used to help diagnose Lyme disease, especially in certain stages of the infection. Your healthcare provider may order this test if you have symptoms of Lyme disease and have been exposed to areas where ticks that carry Lyme disease are common. The IgA antibody test can be particularly useful in detecting disseminated or later-stage Lyme disease.

How is the test performed?

A healthcare professional will draw a small blood sample from a vein in your arm using a needle. The blood is collected into a tube and sent to a laboratory for analysis. The procedure only takes a few minutes and is generally well-tolerated with minimal risks, such as slight bruising or soreness at the injection site.

What do the results mean?

Results are typically reported as positive or negative. A positive result indicates that IgA antibodies to Borrelia burgdorferi were detected in your blood, suggesting a current or recent Lyme disease infection. A negative result means no IgA antibodies were detected, which could mean you do not have Lyme disease, or the infection is too early for antibodies to be detected. It is important to note that no single test is definitive, and results should be interpreted alongside your clinical symptoms, exposure history, and possibly other test results.

Are there any preparations needed?

No special preparation is typically required for this test. You can eat and drink normally before the blood draw. However, always follow any specific instructions provided by your healthcare provider.

Reference range

Negative: <0.8; Equivocal: 0.8-1.1; Positive: >1.1 (assay-dependent; interpret in conjunction with IgG, IgM, and clinical findings)N/A

Specimen: serum

No special preparation required; acute and convalescent sera (2-4 weeks apart) may improve diagnostic yield

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

How soon after a tick bite can this test detect infection?
IgA antibodies typically develop within 2-4 weeks after infection, but this can vary. Testing too early (within the first 1-2 weeks) may give a false negative result even if you are infected.
Do I need this test if I have the characteristic bull's eye rash?
The bull's eye rash (erythema migrans) is a strong indicator of Lyme disease, and many healthcare providers will diagnose and treat based on the rash alone. However, this test may still be ordered to confirm the diagnosis or assess the stage of infection.
Can this test tell if I'm currently infected or was infected in the past?
This test detects active antibodies, which can indicate current or recent infection. However, antibodies can remain in the body for months or even years after treatment, so it cannot definitively distinguish between a current active infection and a past resolved infection.
Is a positive result always accurate?
No test is 100% accurate. There is a small chance of false-positive results due to cross-reactivity with other conditions. Your healthcare provider will interpret your results in the context of your symptoms, exposure history, and possibly other test results.
Do I need to fast before this test?
No fasting is typically required for this test. You can eat and drink normally before having your blood drawn.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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 15, 2026. · Read our editorial policy