Index: clang-tidy/modernize/UseDefaultMemberInitCheck.h
===================================================================
--- clang-tidy/modernize/UseDefaultMemberInitCheck.h
+++ clang-tidy/modernize/UseDefaultMemberInitCheck.h
@@ -36,6 +36,7 @@
                          const CXXCtorInitializer *Init);
 
   const bool UseAssignment;
+  const bool IgnoreMacros;
 };
 
 } // namespace modernize
Index: clang-tidy/modernize/UseDefaultMemberInitCheck.cpp
===================================================================
--- clang-tidy/modernize/UseDefaultMemberInitCheck.cpp
+++ clang-tidy/modernize/UseDefaultMemberInitCheck.cpp
@@ -139,11 +139,13 @@
 UseDefaultMemberInitCheck::UseDefaultMemberInitCheck(StringRef Name,
                                                      ClangTidyContext *Context)
     : ClangTidyCheck(Name, Context),
-      UseAssignment(Options.get("UseAssignment", 0) != 0) {}
+      UseAssignment(Options.get("UseAssignment", 0) != 0),
+      IgnoreMacros(Options.get("IgnoreMacros", 1) != 0) {}
 
 void UseDefaultMemberInitCheck::storeOptions(
     ClangTidyOptions::OptionMap &Opts) {
   Options.store(Opts, "UseAssignment", UseAssignment);
+  Options.store(Opts, "IgnoreMacros", IgnoreMacros);
 }
 
 void UseDefaultMemberInitCheck::registerMatchers(MatchFinder *Finder) {
@@ -197,6 +199,10 @@
     const MatchFinder::MatchResult &Result, const CXXCtorInitializer *Init) {
   const FieldDecl *Field = Init->getMember();
 
+  SourceLocation StartLoc = Field->getLocStart();
+  if (StartLoc.isMacroID() && IgnoreMacros)
+    return;
+
   SourceLocation FieldEnd =
       Lexer::getLocForEndOfToken(Field->getSourceRange().getEnd(), 0,
                                  *Result.SourceManager, getLangOpts());
Index: docs/clang-tidy/checks/modernize-use-default-member-init.rst
===================================================================
--- docs/clang-tidy/checks/modernize-use-default-member-init.rst
+++ docs/clang-tidy/checks/modernize-use-default-member-init.rst
@@ -47,3 +47,8 @@
     int i = 5;
     double j = 10.0;
   };
+
+.. option:: IgnoreMacros
+
+   If this option is set to non-zero (default is `1`), the check will not warn
+   about members declared inside macros.
Index: test/clang-tidy/modernize-use-default-member-init-macros.cpp
===================================================================
--- /dev/null
+++ test/clang-tidy/modernize-use-default-member-init-macros.cpp
@@ -0,0 +1,18 @@
+// RUN: %check_clang_tidy %s modernize-use-default-member-init %t -- \
+// RUN:   -config="{CheckOptions: [{key: modernize-use-default-member-init.IgnoreMacros, value: 0}]}" \
+// RUN:   -- -std=c++11
+
+#define MACRO() \
+  struct S { \
+    void *P; \
+    S() : P(nullptr) {} \
+  };
+
+MACRO();
+// CHECK-MESSAGES: :[[@LINE-1]]:1: warning: use default member initializer for 'P'
+
+struct S2 {
+  void *P;
+  // CHECK-MESSAGES: :[[@LINE-1]]:9: warning: use default member initializer for 'P'
+  S2() : P(nullptr) {}
+};
Index: test/clang-tidy/modernize-use-default-member-init.cpp
===================================================================
--- test/clang-tidy/modernize-use-default-member-init.cpp
+++ test/clang-tidy/modernize-use-default-member-init.cpp
@@ -380,3 +380,12 @@
 
 NegativeTemplateExisting<int> ntei(0);
 NegativeTemplateExisting<double> nted(0);
+
+// This resulted in a warning by default.
+#define MACRO() \
+  struct MacroS { \
+    void *P; \
+    MacroS() : P(nullptr) {} \
+  };
+
+MACRO();