Anti-Borrelia burgdorferi IgG Antibody (Serum/Plasma) – Fluorescent Immunoassay
This blood test detects antibodies to *Borrelia burgdorferi*, the bacterium responsible for Lyme disease, using a fluorescent immunoassay method. It helps identify past or current infection.
["This test checks for Lyme disease antibodies in your blood, aiding diagnosis after tick exposure or symptoms."]
Key facts at a glance
- LOINC
- 48893-2
- Short code
- COXBG2
- Synonyms
- C burnet Ph2 IgG Titr Fld IF
- Category
- chemistry
- Sample
- serum
- Container
- Sterile, leak-proof container; red-top or serum separator tube (SST) for serum collection
- Units
- N/A
- Ref low
- 0
- Ref high
- 1
- Critical range
- — – 200 N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- Method
- Immunofluorescence Assay (IFA)
- CPT
- 86638
- SNOMED
- 122450008
- Specimen volume
- 1–2 mL serum
- Stability
- Refrigerated (2–8°C): up to 7 days; Frozen (-20°C or below): up to 30 days; Avoid repeated freeze-thaw cycles
- Hemolysis max
- 100
- Lipemia max
- 100
- Icterus max
- 50
- TAT
- 24–72 hours
- Order
- routine
What This Test Measures
The test measures the presence of Immunoglobulin G (IgG) antibodies against *Borrelia burgdorferi* in your serum or plasma. These antibodies develop after your immune system has encountered the bacterium, typically within weeks to months after infection. The fluorescent immunoassay detects these antibodies by binding them to labeled probes, producing a measurable signal if antibodies are present.
Why It’s Done
Your healthcare provider may order this test if you have symptoms like fever, rash (e.g., bull’s-eye rash), joint pain, or neurological issues (e.g., meningitis) that could suggest Lyme disease. It’s also used to confirm a diagnosis after initial testing or monitor treatment progress.
How It’s Done
A blood sample is drawn from a vein in your arm. The serum or plasma is then tested in a lab using fluorescent immunoassay, where antibodies bind to labeled antigens. A fluorescent signal indicates a positive result if antibodies are detected.
What the Results Mean
A positive result suggests past or current infection with *Borrelia burgdorferi*. However, false positives can occur, especially in people with other infections or autoimmune conditions. A negative result means no detectable antibodies were found, but it doesn’t rule out Lyme disease definitively if symptoms persist.
Reference range
Negative: <1:16; Past exposure: 1:16–1:64; Active/recent infection: ≥1:128 (Phase 2 IgG titer)N/A
No fasting required. Patients should inform their healthcare provider about any recent antibiotic use, immunosuppressive therapy, or underlying conditions such as valvular heart disease, vascular grafts, or pregnancy that may increase risk of chronic Q fever.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
◆Associated findings1
Short name
IgG Anti-Borrelia Test
Frequently asked questions
What does a positive result imply?
What if my symptoms persist after a negative test?
Can this test be used for early Lyme disease?
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