Bburgdorigaserqlib
This blood test detects IgA antibodies against Borrelia burgdorferi, the bacterium that causes Lyme disease, using an immunoblot technique.
{"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"}
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
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?
Do I need to fast before this test?
Can this test tell me how long I've had Lyme disease?
Is a positive result always accurate?
Do I need treatment if my test is positive?
Sources
- 1
- 2
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 16, 2026. · Read our editorial policy