Lyme Disease - Borrelia burgdorferi

Please note that for all tick-borne disease serology tests, only one specimen is needed to complete all tests requested.

Methodology

ELISA IgG/IgM Screen. Reactive and equivocal IgG/IgM ELISA’s are reflexed to individual IgG and IgM ELISA confirmatory tests with additional charges. All specimens will be tested first with the IgG/IgM screening ELISA to enable accurate result interpretation.

Testing Algorithm

Download printable version (PDF: 118 kb)

• IgG/IgM Screening ELISA
  1. Negative for Lyme Disease by ELISA
  2. Positive or Equivocal:
     Reflexes to separate ELISA for IgM (A) and IgG (B)

1. IgM ELISA
   1. Positive or Equivocal ⇒ IGM Positive 
   2. Negative ⇒ IGM Negative
2. IgG ELISA
   1. Positive or Equivocal ⇒ IgG Positive
   2. Negative ⇒ IgG Negative 

CPT Code

86618 - ELISA (up to 3)

Acceptable Specimens

1 mL of serum

Specimen Storage

Store specimen in the refrigerator (2-8ºC).

Specimen Transport

Transport specimen to the laboratory on cold pack.

Setup Days

Testing is performed on an as-needed basis.

Turn-around-time

Reports will be available within 7 days of receiving the specimen.

Lab Slip

Tick-Borne Disease Serology (PDF: 993 Kb)

Fees