Skip to content

Borrelia burgdorferi IgG Antibody by Immunofluorescence Assay (Serum)

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

This test detects antibodies to *Borrelia burgdorferi*, the bacterium responsible for Lyme disease, using serum from a blood sample.

Quick summary

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

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

Key facts at a glance

LOINC
27945-5
Short code
COXPH2
Synonyms
C burnet Ph2 Ab Titr Ser IF
Category
chemistry
Sample
serum
Container
Serum separator tube (SST), red-top tube, or tiger-top tube
Units
N/A
Ref low
0
Ref high
1
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Immunofluorescence Assay (IFA)
CPT
86638
SNOMED
122450004
Specimen volume
1-2 mL serum (minimum 0.5 mL)
Stability
Room temperature: 8 hours. Refrigerated (2-8°C): 7 days. Frozen (-20°C or below): 6 months. Avoid repeated freeze-thaw cycles.
Hemolysis max
2
Lipemia max
3
Icterus max
2
TAT
48–168 hours
Order
routine

This test measures the level of a specific substance in your blood, helping your doctor understand how well a particular organ or body system is working and whether any further care is needed.

The test looks for antibodies produced by your immune system in response to *Borrelia burgdorferi*. If you’ve been exposed to the bacterium, your body may create these antibodies, which the test can detect. This doesn’t always mean you have an active infection, but it can indicate past exposure or early-stage Lyme disease.

During this test, a small sample of your blood is collected from a vein, usually in your arm, and sent to a laboratory where specialized equipment measures the amount of the substance being tested.

Your blood serum is analyzed using immunofluorescence, a method that identifies specific antibodies against *Borrelia burgdorferi* by binding to labeled antigens on a microscope slide. If antibodies are present, they’ll light up under a microscope, confirming a positive result.

Your doctor may order this test if you have symptoms that suggest a health problem, if you have an ongoing condition that needs regular monitoring, or as part of a routine checkup to keep track of your overall health.

Doctors may recommend this test if you’ve had symptoms of Lyme disease (e.g., fever, rash, joint pain) after a tick bite, especially in areas where Lyme is common. It’s also used to monitor treatment progress or check for past exposure.

Before your test, tell your healthcare provider about any prescription medications, vitamins, or supplements you take, since some of these can affect the results. In most cases you can follow your normal daily routine, and your care team will let you know if any special preparation is needed.

No special preparation is needed. You’ll have a simple blood draw, usually from your arm, and the serum portion is tested for antibodies. Results are typically ready within a few days to a week.

Reference range

Negative: <1:16. Titers ≥1:200 for phase 2 IgG are considered diagnostic in the appropriate clinical context, suggesting past exposure or chronic Q fever. Acute Q fever: phase 2 IgG titer ≥1:200, phase 2 IgM titer ≥1:50. Chronic Q fever: phase 1 IgG titer ≥1:800.N/A

Specimen: serum

No special patient preparation required. Specimen should be collected prior to antibiotic therapy when possible, as antibiotics may affect antibody response kinetics.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Borrelia IgG Antibody (Serum)

Frequently asked questions

Can this test detect Lyme disease right after infection?
No. Antibodies take time to develop, so this test is most useful for detecting past exposure or early-stage Lyme disease (within weeks to months). Active infection may require additional tests.
What does a positive result mean?
A positive result means your immune system has likely encountered *Borrelia burgdorferi*, but it doesn’t always mean you’re currently infected. It could indicate past exposure or an early immune response.
Does this test require fasting?
No fasting is required for this test. You may eat and drink as usual, and your blood can be drawn at any time of day that works best for your schedule.
  1. 1
  2. 2
  3. 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.

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