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Borrelia burgdorferi IgG Antibody (Serum) – Quantitative

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

This test measures the level of IgG antibodies your body produces in response to *Borrelia burgdorferi*, the bacterium responsible for Lyme disease. Antibodies help your immune system recognize and fight infections.

Quick summary

["Detecting IgG antibodies can help diagnose Lyme disease or assess past exposure."]

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

Key facts at a glance

LOINC
31315-5
Short code
COX2M
Synonyms
C burnet Ph2 IgM Ser Ql
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or red-top vacutainer tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
Immunofluorescence Assay (IFA) or Enzyme Immunoassay (EIA)
CPT
86638
SNOMED
12254005
Specimen volume
1-2 mL of serum
Stability
Serum stable at 2-8°C for 7 days; for prolonged storage, freeze at -20°C or below for 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 Does This Test Measure?

IgG antibodies are a type of protein produced by your immune system to fight infections. In this test, we measure the concentration of these antibodies specific to *Borrelia burgdorferi*, the bacterium that causes Lyme disease. If you have been exposed to the bacteria, your body may produce these antibodies over time. This test helps determine if your immune system has recognized the infection, even if symptoms have already passed or are no longer present.

Why Might You Need This Test?

Your healthcare provider may recommend this test if you have symptoms of Lyme disease (such as fever, rash, or joint pain) or if you live in an area where Lyme disease is common. It can also be used to check for past exposure if you suspect you may have been infected.

How Is the Test Performed?

A blood sample is drawn from a vein in your arm. The sample is then sent to a lab for analysis using an immunoassay method to detect IgG antibodies against *Borrelia burgdorferi*. This process typically takes a few days to complete.

What Are Possible Results?

A positive result means your blood contains detectable IgG antibodies to *Borrelia burgdorferi*, suggesting past exposure. A negative result means no detectable antibodies were found in your sample. Results may vary depending on when after exposure testing is done, so follow-up testing may be needed if symptoms persist.

Reference range

Negative: Phase 2 IgM antibodies not detected. Positive results suggest acute or recent Coxiella burnetii infection (Q fever).N/A

Specimen: serum

No fasting required. No special patient preparation needed prior to specimen collection.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

IgG Antibody to Lyme Disease Spirochete

Frequently asked questions

How Long Does It Take to Get Results?
Results are usually available within 2 to 5 business days, depending on lab processing times. Your healthcare provider will discuss the results with you and may recommend additional testing or follow-up if needed.
Can This Test Be Used to Confirm Lyme Disease?
While this test can indicate past exposure to *Borrelia burgdorferi*, it is not definitive for diagnosing active Lyme disease. Active infection is typically diagnosed using a combination of clinical symptoms, physical examination, and other tests (such as the *Borrelia burgdorferi* Western blot or PCR).
What If My Test Result Is Positive?
A positive result suggests you may have been exposed to Lyme disease in the past. Your healthcare provider will evaluate your symptoms and medical history to determine if further testing or treatment is needed. If symptoms persist, they may recommend additional diagnostic steps or treatment for Lyme disease.
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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