The third voice from the top lowered an octave. The dropped voice becomes the bass, which is why a string is skipped.
C#maj7b5 is C#, E#, G and B# — C#maj7 with the fifth lowered a semitone.
It sounds hollow and hard to place. Far more often met spelled the other way round, as a ♯11 over a chord that kept its fifth.
Coloured tonic — rare, and unstable for a major chord.

| C# | E# | G | B# |
|---|---|---|---|
| 1 | 3 | ♭5 | 7 |
Also written C#M7b5, C#Δ7b5 or C#maj7(b5). The same chord either way; which spelling you meet depends on who wrote the chart.
The same operation one voice further down: the third voice from the top falls an octave and becomes the bass.
That leaves a bigger hole under the top three notes, so a string gets skipped: the muted string in the middle is the shape, not a mistake.
C#maj7b5 has 9 of them, on strings 5-3-2-1 and strings 6-4-3-2, from open position up to the 12th — every inversion the chord has: C# in the bass, E# in the bass, G in the bass and B# in the bass. The one to learn first is the B# shape at the nut.
5 of them sit on strings 5-3-2-1, so you can run the inversions up one set without changing strings — which is the whole reason to learn them as a family rather than as separate grips.
Play C#maj7b5 as a shell — root, third and seventh — and the spare string takes the 9 (D#) or the 13 (A#).
All 5 common shapes as fret numbers, lowest string first. Hover or tap one to see it drawn.
How you get to it. The turn that lands on C#maj7b5 is D#m7 to G#7 — the ii and the V of C# — and G#7 shares its third and seventh with D#m7, so the hand barely moves between them.
In which keys. Every note of C#maj7b5 belongs to F minor (the ♭VI) and Ab major (the IV, the subdominant).
Every note of C#maj7b5 is in C# lydian.
Change one note of C#maj7b5 and you have C#maj7 (the flat fifth becomes the fifth), C#maj7#5 (the flat fifth becomes the sharp fifth), C#mMaj7b5 (the major third becomes the minor third) or C#7b5 (the major seventh becomes the flat seventh).
C#maj7b5 is a major chord — root, major third, fifth. Major chords on every root.
The common shapes and the derived voicings come from different places, and both are explained in how this site is built.
Shows each chord the way this style would voice it, and marks which of its alternatives belong to the idiom.