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Complete Blood Count (CBC) Test

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

This blood test detects antibodies against Borrelia burgdorferi, the bacteria that causes Lyme disease, transmitted through tick bites.

Quick summary

Detects IgM and IgG antibodies against Borrelia burgdorferi bacteria Used to diagnose Lyme disease after a tick bite or suspicious symptoms IgM antibodies appear early (2-4 weeks), IgG develops later (4-6 weeks) A positive result suggests current or past infection Testing is often done in two stages: screening followed by confirmatory testing

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

Key facts at a glance

LOINC
101403-4
Short code
LYMEVPE
Synonyms
B burgdor.VlsE1+pepC10 IgG+IgM Ser Ql IA
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or red-top vacutainer tube (no anticoagulant). Serum separator tubes with gel barrier are preferred for clinical chemistry/immunoassay testing.
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Immunoassay (e.g., enzyme-linked immunosorbent assay [ELISA] or chemiluminescent immunoassay [CLIA]) using recombinant VlsE1 and pepC10 antigens for combined detection of IgG and IgM antibodies
CPT
86618
SNOMED
122388000
Specimen volume
0.5-1 mL of serum (minimum). Standard venipuncture collection of 3-5 mL whole blood typically yields sufficient serum.
Stability
Serum is stable at room temperature (15-25°C) for up to 24 hours, refrigerated (2-8°C) for up to 7 days, and frozen (-20°C or colder) for up to 6 months. Avoid repeated freeze-thaw cycles. Hemolyzed, lipemic, or icteric specimens may yield inaccurate results.
Hemolysis max
100
Lipemia max
100
Icterus max
50
TAT
4–48 hours
Order
routine

A complete blood count (CBC) is a common blood test that measures the different cells in your blood, including red blood cells, white blood cells, and platelets. It gives your provider a broad picture of your overall health and can help detect a wide range of conditions, from infections and anemia to blood disorders.

The Borrelia burgdorferi antibody test is a blood test that looks for IgM and IgG antibodies in your serum against the bacteria Borrelia burgdorferi, which causes Lyme disease. This test uses recombinant antigens VlsE1 and pepC10 to detect the immune response to Lyme disease infection.

Your doctor may order this test as part of a routine checkup, to look into symptoms such as fatigue, weakness, fever, bruising, or unusual bleeding, or to monitor an ongoing condition like anemia or infection. It is also used to track how treatments, such as chemotherapy, are affecting your blood cells over time.

Your healthcare provider may order this test if: you have been bitten by a tick and developed symptoms of Lyme disease, you have a characteristic bull's-eye rash (erythema migrans), or you have symptoms such as fever, headache, fatigue, and joint pain that may suggest Lyme disease. Early detection and treatment are important to prevent complications.

The test is done with a simple blood draw, usually from a vein in your arm. A nurse or phlebotomist will clean the site, place a band around your upper arm, and collect a small sample into a tube. The procedure takes only a few minutes, and you can return to your normal activities right afterward.

A blood sample is drawn from a vein in your arm. The sample is then tested in a laboratory using immunoassay techniques to detect the presence and levels of IgM and IgG antibodies against Borrelia burgdorferi. The test is typically done in two stages: an initial screening test, followed by confirmatory testing (such as Western blot) if the screening is positive or equivocal.

Results show whether your blood cell counts fall within normal ranges. A high white blood cell count may suggest an infection or inflammation, while a low red blood cell count can point to anemia. Abnormal platelet levels may affect how your blood clots. Your provider will interpret your values together with your symptoms and medical history.

Results are reported as positive, negative, or equivocal for IgM and IgG antibodies. A positive IgM result early in infection suggests recent exposure. A positive IgG result typically indicates infection for several weeks or longer. However, interpretation should be done by your healthcare provider considering your symptoms, exposure history, and timing of the test.

Reference range

Negative (antibodies to Borrelia burgdorferi VlsE1 and pepC10 antigens not detected). Equivocal and Positive results may indicate exposure to Borrelia burgdorferi. Positive IgM results should be interpreted with caution in patients with illness duration greater than 30 days due to potential false-positive reactivity.N/A

Specimen: serum

No special patient preparation is required. Fasting is not necessary. Specimen collection should ideally occur at least 2-4 weeks after suspected tick exposure or onset of symptoms to allow for adequate antibody development. Patients should inform their healthcare provider of any recent antibiotic use, as early antibiotic therapy may suppress antibody response.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Lyme disease is the most common vector-borne disease in the United States and Europe, transmitted through bites from infected black-legged ticks (Ixodes scapularis/Ixodes pacificus). Early symptoms include the characteristic bull's-eye rash, fever, chills, headache, and fatigue. If untreated, the infection can spread to joints, the heart, and the nervous system, causing more severe complications such as arthritis, carditis, and neurological disorders. This test helps confirm the diagnosis, enabling timely antibiotic treatment. The presence of IgM antibodies typically indicates early infection (within 4-6 weeks of tick bite), while IgG antibodies develop later and can persist for months to years after treatment.

Frequently asked questions

How soon after a tick bite can this test detect Lyme disease?
IgM antibodies usually become detectable 2-4 weeks after infection, while IgG antibodies typically develop 4-6 weeks after infection. Testing too early (within the first 2 weeks) may give a false negative result even if you have been infected.
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 I have Lyme disease even if my test is negative?
Yes, it is possible. During the early stage of infection, antibodies may not have developed yet (window period). If you have symptoms or known tick exposure, your doctor may recommend repeat testing after a few weeks.
What does a positive result mean?
A positive result indicates that antibodies to Borrelia burgdorferi were detected, suggesting either current or past infection. Your healthcare provider will interpret this result together with your symptoms, physical findings, and exposure history to confirm the diagnosis.
Is this test used after treatment to check if I am cured?
Antibodies can persist in the blood for months to years after successful treatment, so the test is generally not used to monitor treatment response. Clinical improvement of symptoms is the primary indicator of successful treatment.
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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 15, 2026. · Read our editorial policy