Bburgdorigaseracnc
A blood test that measures IgA antibodies against Borrelia burgdorferi, the bacterium that causes Lyme disease.
{"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"}
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
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?
Do I need this test if I have the characteristic bull's eye rash?
Can this test tell if I'm currently infected or was infected in the past?
Is a positive result always accurate?
Do I need to fast before this test?
Sources
- 1
- 2
- 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.
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