diff --git a/clang-tools-extra/clang-tidy/google/AvoidThrowingObjCExceptionCheck.cpp b/clang-tools-extra/clang-tidy/google/AvoidThrowingObjCExceptionCheck.cpp
--- a/clang-tools-extra/clang-tidy/google/AvoidThrowingObjCExceptionCheck.cpp
+++ b/clang-tools-extra/clang-tidy/google/AvoidThrowingObjCExceptionCheck.cpp
@@ -36,6 +36,22 @@
       Result.Nodes.getNodeAs<ObjCMessageExpr>("raiseException");
   auto SourceLoc = MatchedStmt == nullptr ? MatchedExpr->getSelectorStartLoc()
                                           : MatchedStmt->getThrowLoc();
+
+  // Early return on invalid locations.
+  if (SourceLoc.isInvalid())
+    return;
+
+  // If the match location was in a macro, check if the macro was in a system
+  // header.
+  if (SourceLoc.isMacroID()) {
+    SourceManager &SM = *Result.SourceManager;
+    auto MacroLoc = SM.getImmediateMacroCallerLoc(SourceLoc);
+
+    // Matches in system header macros should be ignored.
+    if (SM.isInSystemHeader(MacroLoc))
+      return;
+  }
+
   diag(SourceLoc,
        "pass in NSError ** instead of throwing exception to indicate "
        "Objective-C errors");
diff --git a/clang-tools-extra/docs/ReleaseNotes.rst b/clang-tools-extra/docs/ReleaseNotes.rst
--- a/clang-tools-extra/docs/ReleaseNotes.rst
+++ b/clang-tools-extra/docs/ReleaseNotes.rst
@@ -141,6 +141,10 @@
   would be emitted for uninitialized members of an anonymous union despite
   there being an initializer for one of the other members.
 
+- Fixed false positives in :doc:`google-objc-avoid-throwing-exception
+  <clang-tidy/checks/google/objc-avoid-throwing-exception>` check for exceptions
+  thrown by code emitted from macros in system headers.
+
 - Improved :doc:`modernize-use-emplace <clang-tidy/checks/modernize/use-emplace>`
   check.
 
diff --git a/clang-tools-extra/test/clang-tidy/checkers/google/Inputs/system-header-throw.h b/clang-tools-extra/test/clang-tidy/checkers/google/Inputs/system-header-throw.h
new file mode 100644
--- /dev/null
+++ b/clang-tools-extra/test/clang-tidy/checkers/google/Inputs/system-header-throw.h
@@ -0,0 +1,6 @@
+#pragma clang system_header
+
+#define SYS_THROW(e) @throw e
+
+#define SYS_RAISE [NSException raise:@"example" format:@"fmt"]
+
diff --git a/clang-tools-extra/test/clang-tidy/checkers/google/objc-avoid-throwing-exception.m b/clang-tools-extra/test/clang-tidy/checkers/google/objc-avoid-throwing-exception.m
--- a/clang-tools-extra/test/clang-tidy/checkers/google/objc-avoid-throwing-exception.m
+++ b/clang-tools-extra/test/clang-tidy/checkers/google/objc-avoid-throwing-exception.m
@@ -1,4 +1,5 @@
-// RUN: %check_clang_tidy %s google-objc-avoid-throwing-exception %t
+// RUN: %check_clang_tidy %s google-objc-avoid-throwing-exception %t -- -- -I %S/Inputs/
+
 @class NSString;
 
 @interface NSException
@@ -21,12 +22,29 @@
     // CHECK-MESSAGES: :[[@LINE-1]]:5: warning: pass in NSError ** instead of throwing exception to indicate Objective-C errors [google-objc-avoid-throwing-exception]
 }
 
+#include "system-header-throw.h"
+
+#define THROW(e) @throw e
+
+#define RAISE [NSException raise:@"example" format:@"fmt"]
+
 - (void)f2 {
     [NSException raise:@"TestException" format:@"Test"];
     // CHECK-MESSAGES: :[[@LINE-1]]:18: warning: pass in NSError ** instead of throwing exception to indicate Objective-C errors [google-objc-avoid-throwing-exception]
     [NSException raise:@"TestException" format:@"Test %@" arguments:@"bar"];
     // CHECK-MESSAGES: :[[@LINE-1]]:18: warning: pass in NSError ** instead of throwing exception to indicate Objective-C errors [google-objc-avoid-throwing-exception]
     [NotException raise:@"NotException" format:@"Test"];
+
+    NSException *e;
+    SYS_THROW(e);
+
+    SYS_RAISE;
+
+    THROW(e);
+    // CHECK-MESSAGES: :[[@LINE-1]]:5: warning: pass in NSError ** instead of throwing exception to indicate Objective-C errors [google-objc-avoid-throwing-exception]
+
+    RAISE;
+    // CHECK-MESSAGES: :[[@LINE-1]]:5: warning: pass in NSError ** instead of throwing exception to indicate Objective-C errors [google-objc-avoid-throwing-exception]
 }
 @end