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Genetic Mutation Test for Calcium Channel Subunit Alpha-1S (CACNA1S)

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

This test checks for specific changes (mutations) in the gene responsible for encoding the calcium channel subunit alpha-1S, which plays a role in muscle and nerve function.

Quick summary

["Helps identify potential genetic causes of muscle-related disorders."]

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

Key facts at a glance

LOINC
21645-7
Short code
CACNA1S
Synonyms
CACNA1S gene Mut Tested Bld/T
Category
chemistry
Sample
whole-blood
Container
EDTA tube (lavender top) for whole blood; sterile container for tissue specimens
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
molgen
CPT
81404
SNOMED
5304006
Specimen volume
3-5 mL whole blood in EDTA tube; or tissue specimen as appropriate
Stability
Whole blood stable at room temperature for 24 hours; refrigerated (2-8°C) for 7 days; frozen at -20°C or below for long-term storage. DNA extracted from samples stable for years when stored properly.
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
168–720 hours
Order
routine

Why This Test Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms like unexplained muscle weakness, stiffness, or cramps, or if family members have a history of muscle disorders linked to genetic mutations in the CACNA1S gene. It may also be part of genetic testing for conditions like periodic paralysis or other myopathies.

What to Expect During the Test

A small blood sample will be taken from your arm. The sample is then sent to a lab for genetic analysis to detect mutations in the CACNA1S gene. Results are typically available within a few weeks.

Understanding Your Results

Results can be normal (no mutations found) or abnormal (mutations detected). Abnormal results may indicate a genetic predisposition to muscle disorders. Discuss your results with your healthcare provider for personalized guidance.

Preparation and Considerations

No special preparation is needed for this blood test. If you are pregnant, have an infection, or are on certain medications, inform your healthcare provider before the test.

Reference range

Nominal result: Negative (no pathogenic CACNA1S mutations detected). Positive indicates presence of one or more pathogenic mutations associated with malignant hyperthermia susceptibility, hypokalemic periodic paralysis, or other CACNA1S-related disorders.N/A

Specimen: whole-blood

No special patient preparation required. Patient should be informed about genetic testing implications and provide informed consent prior to sample collection. Genetic counseling may be recommended.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

CACNA1S Gene Mutation Test

Frequently asked questions

What does a positive result mean?
A positive result means that specific mutations in the CACNA1S gene were found. This may suggest an increased risk for muscle-related disorders and could influence future medical management or genetic counseling.
Will this test be covered by insurance?
Coverage depends on your insurance plan and the reason for testing. Check with your insurance provider or healthcare provider to confirm if this test is covered under your specific plan.
Can I fast before this test?
No fasting is required for this genetic blood test. However, always follow any specific instructions your healthcare provider gives you.
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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