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Bburgdorigaserqlib

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

This blood test detects IgA antibodies against Borrelia burgdorferi, the bacterium that causes Lyme disease, using an immunoblot technique.

Quick summary

{"Detects IgA antibodies specific to Lyme disease bacteria","Used to confirm Lyme disease infection, especially in later stages","Results are reported as positive or negative based on antibody presence","A positive result indicates exposure to Lyme disease bacteria","Results should be interpreted together with symptoms and other test findings"}

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

Key facts at a glance

LOINC
18201-4
Short code
BBURIGAB
Synonyms
B burgdor IgA Ser Ql IB
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or red-top tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Immunoblot (Western Blot)
CPT
86617
SNOMED
122559008
Specimen volume
0.5-1 mL serum
Stability
Room temperature: 24 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 30 days
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
24–72 hours
Order
routine

What is this test?

The Borrelia burgdorferi IgA Antibody test is a specialized blood test that looks for IgA antibodies against the bacteria that cause Lyme disease. Unlike more common screening tests, this test uses an immunoblot (also called Western blot) technique, which is more specific and can detect antibodies to individual proteins of the Lyme disease bacterium.

Why do I need this test?

Your healthcare provider may order this test if you have symptoms suggestive of Lyme disease, especially if you have been bitten by a tick or spent time in areas where Lyme disease is common. IgA antibodies typically appear later in the infection than IgM antibodies, so this test is particularly useful for detecting later stages of Lyme disease or confirming an ongoing infection.

How is the test performed?

A healthcare professional will draw a small blood sample from a vein in your arm. The blood sample is then sent to a laboratory where technicians will use the immunoblot technique to detect IgA antibodies specific to Borrelia burgdorferi. This technique separates bacterial proteins by size and uses patient serum to detect if antibodies bind to these specific proteins.

What do the results mean?

Results are typically reported as 'Positive' or 'Negative'. A positive result means that IgA antibodies against Borrelia burgdorferi were detected in your blood, indicating that you have been exposed to the Lyme disease bacterium. A negative result means no IgA antibodies were detected, which could mean you do not have Lyme disease, or that the infection is too early for antibodies to be detectable. Your healthcare provider will interpret these results together with your symptoms, medical history, and possibly other test results.

Reference range

NegativeN/A

Specimen: serum

No special preparation required. Sample may be collected at any time of day.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

How long after a tick bite should I wait to get tested?
It takes about 2-4 weeks after the tick bite for antibodies to develop in sufficient quantities to be detected. Testing too early may give a false negative result. If you have symptoms of Lyme disease, discuss testing timing with your healthcare provider.
Do I need to fast before this test?
No fasting is required for this test. You can eat and drink normally before having your blood drawn.
Can this test tell me how long I've had Lyme disease?
Not precisely. The presence of IgA antibodies generally indicates a later stage of infection (typically weeks to months after exposure), but it cannot determine exactly when you were infected.
Is a positive result always accurate?
While the immunoblot is highly specific, no test is 100% perfect. False positives can occur due to cross-reactions with other conditions. Your healthcare provider will consider your symptoms, exposure history, and other test results when interpreting the findings.
Do I need treatment if my test is positive?
Treatment decisions should be made by your healthcare provider. A positive test result along with symptoms typically requires antibiotic treatment for Lyme disease. However, a positive test without symptoms may require careful evaluation to determine if treatment is necessary.
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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