Skip to content

Anti-Borrelia burgdorferi IgG Antibody (Serum)

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

This blood test checks for antibodies to the bacteria *Borrelia burgdorferi*, which can cause Lyme disease. Antibodies appear after infection and help the body fight the bacteria.

Quick summary

["Detects past or ongoing Lyme disease infection by measuring immune system response."]

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

Key facts at a glance

LOINC
109146-1
Short code
COX2IGA
Synonyms
C burnet Ph2 IgA Msmt Ser
Category
chemistry
Sample
serum
Container
Serum separator tube (SST, gold top) or red-top tube without anticoagulant
Units
N/A
Ref low
0
Ref high
1
Fasting
false
Population
adult
Sex
all
Age range
1–120 years
Method
Enzyme-linked immunosorbent assay (ELISA) or indirect immunofluorescence assay (IFA) for detection of IgA antibodies against Coxiella burnetii phase 2 antigen
CPT
86638
SNOMED
122458004
Specimen volume
1–2 mL serum (minimum 0.5 mL)
Stability
Stable for 7 days at 2–8°C; for extended storage, freeze at -20°C or below for up to 6 months; avoid repeated freeze-thaw cycles
Hemolysis max
100
Lipemia max
100
Icterus max
50
TAT
48–168 hours
Order
routine

What Does This Test Measure?

The test looks for IgG antibodies specific to *Borrelia burgdorferi*, a bacterium transmitted by ticks. These antibodies develop after exposure and can persist for months or years, even after symptoms have resolved. This test is used to confirm a diagnosis of Lyme disease when early symptoms (like fever, rash, or joint pain) are present or when other tests are inconclusive.

Why Might You Need This Test?

Your healthcare provider may recommend this test if you have symptoms of Lyme disease, such as a bullseye rash (erythema migrans), flu-like illness, or persistent joint/muscle pain. It’s also used in cases where early treatment wasn’t effective or if symptoms recur. This test helps distinguish Lyme disease from other conditions with similar symptoms.

What to Expect Before or After the Test

No special preparation is needed. A blood sample will be taken from a vein in your arm. Results may take a few days to a week, depending on lab processing. If you’re diagnosed with Lyme disease, follow-up testing may include checking for other antibodies or monitoring treatment progress.

What Are Possible Results?

A positive result means your blood contains detectable IgG antibodies to *Borrelia burgdorferi*, suggesting past or current infection. A negative result means no detectable antibodies were found, but Lyme disease cannot be definitively ruled out without other tests or symptoms. False negatives can occur early in infection or with early treatment.

Reference range

Negative: <1:50 titer; Equivocal: 1:50–1:100; Positive: >1:100 (laboratory-specific; results reported as titer or qualitative)N/A

Specimen: serum

No fasting or special preparation required. Avoid hemolyzed, lipemic, or contaminated specimens. Acute and convalescent serum samples (2–4 weeks apart) recommended for seroconversion assessment

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Anti-Borrelia IgG

Frequently asked questions

Can Lyme disease be treated even if test results are negative?
Yes, Lyme disease is diagnosed based on symptoms, physical findings (like a rash), and sometimes additional tests. Antibody tests are useful but not always definitive, especially in early stages. Treatment with antibiotics is critical even if results are unclear.
What if my test results are positive but I don’t feel sick?
A positive antibody test alone doesn’t always mean you’re currently infected. Some people have lingering antibodies after treatment or from past exposure. Your doctor will assess symptoms, medical history, and other factors to guide treatment if needed.
Why might my test results change over time?
Antibody levels can fluctuate. Early in infection, antibodies may not be present (false negative). After treatment, levels may drop, but some people retain antibodies for years. Repeating tests isn’t always necessary unless symptoms persist or worsen.
  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