Borrelia burgdorferi IgG Antibody by Immunofluorescence (Serum/Plasma)
This test detects antibodies to *Borrelia burgdorferi*, the bacterium responsible for Lyme disease, using immunofluorescence in serum or plasma.
["Helps diagnose Lyme disease by identifying your immune system’s response to the infection."]
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
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?
Can this test detect early Lyme disease?
Does this test require fasting?
Sources
- 1
- 2Lab Tests OnlineSource
- 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