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Serum or plasma concentration of immunoglobulin G (IgG) antibodies against *Borrelia burgdorferi* (Lyme disease)

Published: August 9, 2026Updated: August 16, 2026

This test measures the level of antibodies your body produces in response to *Borrelia burgdorferi*, the bacterium responsible for Lyme disease. It helps determine if you’ve been exposed to the infection, even if you don’t yet have symptoms.

Quick summary

["This test helps track Lyme disease exposure and supports diagnosis when symptoms or other tests are unclear."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
46193-9
Short code
IBV JMK Ab Titr Ser
Synonyms
IBV JMK Ab Titr Ser
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What This Test Measures

The test detects IgG antibodies specific to *Borrelia burgdorferi*, a bacterium transmitted by tick bites. These antibodies develop after your immune system has encountered the bacterium, often weeks to months after exposure. The presence of these antibodies suggests past infection, though they may persist long-term.

How the Test Works

Your blood sample is analyzed using an immunoassay (a lab method that detects antibodies). The test identifies IgG antibodies against *Borrelia burgdorferi* proteins, helping differentiate between exposure and active infection.

When You Might Need This Test

Doctors may order this test if you’ve had a tick bite, have symptoms like fever, fatigue, or joint pain, or if you live in an area with high Lyme disease risk. It’s also used to monitor treatment progress or evaluate past exposure in certain clinical scenarios.

What to Expect Before the Test

No special preparation is needed. You’ll have a simple blood draw, usually at a clinic or lab. Wear comfortable clothing and arrive with an empty stomach if instructed, though this is not always required for this test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

IgG Antibodies to *Borrelia burgdorferi*

Frequently asked questions

Why might my doctor recommend this test?
Your doctor may suggest this test if you’ve had a tick bite, live in or travel to an area with Lyme disease risk, or have symptoms like joint pain, fatigue, or a bullseye rash (erythema migrans). It helps assess whether you’ve been exposed to the bacteria, even if you’re not currently sick.
What do my results mean?
A positive result means your body has produced antibodies against *Borrelia burgdorferi*, suggesting past exposure. However, these antibodies can remain in your system for years, so a positive test doesn’t always mean you had Lyme disease. Your doctor will consider your symptoms, medical history, and other test results to make a diagnosis.
Can this test be used to diagnose Lyme disease now?
No, this test alone cannot diagnose Lyme disease. It’s typically used alongside other tests, such as antibody tests for *Borrelia burgdorferi* early-stage antibodies (IgM) or physical exams, to guide diagnosis. If you suspect Lyme disease, talk to your doctor about a full evaluation.
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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 16, 2026. · Read our editorial policy