Anti-Borrelia burgdorferi IgG Antibody (Serum)
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.
["Detects past or ongoing Lyme disease infection by measuring immune system response."]
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
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?
What if my test results are positive but I don’t feel sick?
Why might my test results change over time?
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