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Order Code TLYME Lyme IgM and IgG, Whole Cell Sonicate, ELISA, Serum

Additional Codes

EPIC Test Code: LABTLYME


Ordering Guidance


This test should only be ordered on specimens that have tested positive or equivocal by a first tier Lyme disease antibody test.



Specimen Required


Supplies: Sarstedt Aliquot Tube 5 mL (T914)

Collection Container/Tube:

Preferred: Serum gel

Acceptable: Red top

Submission Container/Tube: Plastic vial

Specimen Volume: 0.6 mL Serum

Collection Instructions: Centrifuge and aliquot serum into a plastic vial.


Useful For

Supplemental testing for samples with positive or equivocal first-tier test results for antibodies to Lyme disease causing Borrelia species

 

This test should not be used as a screening procedure for the general population.

Testing Algorithm

For information see Acute Tick-Borne Disease Testing Algorithm

Method Name

Enzyme-Linked Immunosorbent Assay (ELISA)

Reporting Name

Lyme IgM/IgG, WCS, EIA, S

Specimen Type

Serum

Specimen Minimum Volume

Serum: 0.5 mL

Specimen Stability Information

Specimen Type Temperature Time
Serum Refrigerated (preferred) 10 days
  Frozen  30 days

Reject Due To

Gross hemolysis Reject
Gross lipemia Reject
Gross icterus Reject
Heat-inactivated Reject

Reference Values

Negative

 

Reference values apply to all ages.

Method Description

IgM:

The anti-Borrelia burgdorferi IgM test is designed to detect IgM class antibodies to B burgdorferi in human sera. The sensitized wells of plastic microwell strips are prepared by passive adsorption with B burgdorferi whole cell antigen. Test sera are diluted with the sample diluent provided and then combined with absorbent solution. The absorbent solution contains anti-human IgG that precipitates and removes IgG and rheumatoid factor from the sample leaving IgM free to react with the immobilized antigen. During sample incubation, any antigen specific IgM antibody in the sample will bind to the immobilized antigen. The plate is washed to remove unbound antibody and other serum components. Peroxidase conjugated goat anti-human IgM (m chain specific) is added to the wells and the plate is incubated. The conjugate will react with IgM antibody immobilized on the solid phase. The wells are washed to remove unbound conjugate. The microwells containing immobilized peroxidase conjugate are incubated with peroxidase substrate solution. Hydrolysis of the substrate by peroxidase produces a color change. After a period of time the reaction is stopped, and the color intensity of the solution is measured photometrically. The color intensity of the solution depends upon the antibody concentration in the original test sample.(Package insert: Anti-B burgdorferi IgM. ZEUS Scientific; Rev Date 03/16/2026)

 

IgG:

The anti-B burgdorferi IgG test is designed to detect IgG class antibodies to B burgdorferi in human sera. The sensitized wells of plastic microwell strips are prepared by passive adsorption with B burgdorferi whole cell antigen. Properly diluted test sera are incubated in antigen coated microwells. Any antigen specific antibody in the sample will bind to the immobilized antigen. The plate is washed to remove unbound antibody and other serum components. Peroxidase conjugated goat anti-human IgG (Fc chain specific) is added to the wells and the plate is incubated. The conjugate will react with IgG antibody immobilized on the solid phase. The wells are washed to remove unreacted conjugate. The microwells containing immobilized peroxidase conjugate are incubated with peroxidase substrate solution. Hydrolysis of the substrate by peroxidase produces a color change. After a period of time the reaction is stopped and the color intensity of the solution is measured photometrically. The color intensity of the solution depends upon the antibody concentration in the original test sample.(Package insert: Anti-B burgdorferi IgG. ZEUS Scientific; Rev Date 03/16/2026)

Day(s) Performed

Tuesday, Friday

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

86617 x 2

LOINC Code Information

Test ID Test Order Name Order LOINC Value
TLYME Lyme IgM/IgG, WCS, EIA, S 34942-3

 

Result ID Test Result Name Result LOINC Value
LYMEM Lyme Ab, IgM, S 40612-4
LYMEG Lyme Ab, IgG, S 16480-6
LYMEI Lyme Ab Interpretation 46248-1

Forms

If not ordering electronically, complete, print, and send Infectious Disease Serology Test Request (T916) with the specimen.