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Borrelia burgdorferi IgG Antibody by Immunofluorescence (Serum/Plasma)

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

This test detects antibodies to *Borrelia burgdorferi*, the bacterium responsible for Lyme disease, using immunofluorescence in serum or plasma.

Quick summary

["Helps diagnose Lyme disease by identifying your immune system’s response to the infection."]

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

Key facts at a glance

LOINC
29772-1
Short code
COX2CF
Synonyms
C burnet Ph2 Ab Titr Ser CF
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or red-top vacutainer tube
Units
N/A
Ref low
0
Ref high
1
Critical range
— – 128 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
comp-fix
CPT
86638
SNOMED
39522008
Specimen volume
1-2 mL serum
Stability
Stable for 7 days at 2-8°C; for extended storage, freeze at -20°C or below. Avoid repeated freeze-thaw cycles.
Hemolysis max
2
Lipemia max
2
Icterus max
2
TAT
24–72 hours
Order
routine

What This Test Measures

The test looks for specific antibodies (IgG) produced by your immune system in response to *Borrelia burgdorferi*. These antibodies are created when your body fights the bacterium, which can cause Lyme disease. The immunofluorescence method detects these antibodies by binding them to a fluorescent marker, making them visible under a microscope. This helps confirm whether you’ve been exposed to the bacteria or if an infection is active.

Why It’s Done

Your healthcare provider may order this test if you have symptoms like fever, fatigue, joint pain, or a bullseye rash (erythema migrans), which are common in Lyme disease. It’s also used to monitor treatment progress or check for early infection when other tests are inconclusive.

How It’s Performed

A blood sample is taken from a vein in your arm. The serum or plasma is then tested in a lab using immunofluorescence to identify the presence of *Borrelia burgdorferi* antibodies. Results are qualitative (positive or negative) rather than quantitative.

What the Results Mean

A **positive** result indicates the presence of antibodies, suggesting past or current exposure to *Borrelia burgdorferi*. A **negative** result means no detectable antibodies were found in this sample. Results alone don’t confirm Lyme disease—symptoms and clinical evaluation are also needed.

Reference range

Negative: <1:8; Titer <1:8 considered negative. A fourfold rise in paired serum samples or a single titer >=1:128 is suggestive of acute Q fever infection.N/A

Specimen: serum

No special patient preparation required. Acute and convalescent serum samples (2-4 weeks apart) are recommended for seroconversion documentation.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Borrelia IgG IF

Frequently asked questions

What does a positive result mean?
A positive result suggests you may have been infected with *Borrelia burgdorferi* at some point. This could mean you had Lyme disease earlier or are still infected. However, antibodies can take weeks to develop after exposure, so a negative result doesn’t always rule out infection. Your doctor will consider symptoms, travel history, and other tests to diagnose Lyme disease accurately.
Can this test detect early Lyme disease?
No, this test primarily detects IgG antibodies, which develop later in infection (typically weeks to months after exposure). Early Lyme disease is often diagnosed using other tests, such as enzyme-linked immunosorbent assay (ELISA) or Western blot, which may detect different antibody types or antigens. Early treatment is crucial for better outcomes.
Does this test require fasting?
No, fasting is not required for this blood test. You can eat and drink normally before your appointment, unless your doctor specifies otherwise.
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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