diff --git a/crates/ide-assists/src/handlers/convert_named_struct_to_tuple_struct.rs b/crates/ide-assists/src/handlers/convert_named_struct_to_tuple_struct.rs
index 72418f155962..2446ffb84a92 100644
--- a/crates/ide-assists/src/handlers/convert_named_struct_to_tuple_struct.rs
+++ b/crates/ide-assists/src/handlers/convert_named_struct_to_tuple_struct.rs
@@ -1,5 +1,5 @@
 use either::Either;
-use ide_db::{defs::Definition, search::FileReference};
+use ide_db::{FxHashSet, defs::Definition, search::FileReference};
 use syntax::{
     NodeOrToken, SyntaxKind, SyntaxNode, T,
     algo::next_non_trivia_token,
@@ -166,8 +166,12 @@ fn edit_struct_references(
     for (file_id, refs) in usages {
         let source = ctx.sema.parse(file_id);
         let editor = builder.make_editor(source.syntax());
+        // a macro expanding $e twice yields two FileReferences with identical source ranges
+        let mut seen = FxHashSet::default();
         for r in refs {
-            process_struct_name_reference(ctx, r, &editor, &source);
+            if seen.insert(r.range) {
+                process_struct_name_reference(ctx, r, &editor, &source);
+            }
         }
         builder.add_file_edits(file_id.file_id(ctx.db()), editor);
     }
@@ -298,15 +302,17 @@ fn edit_field_references(
             let editor = builder.make_editor(source.syntax());
             let make = editor.make();
 
+            // a macro expanding $e twice yields two FileReferences with identical source ranges
+            let mut seen = FxHashSet::default();
             for r in refs {
-                if let Some(name_ref) = r.name.as_name_ref() {
-                    // Only edit the field reference if it's part of a `.field` access
-                    if name_ref.syntax().parent().and_then(ast::FieldExpr::cast).is_some() {
-                        editor.replace_all(
-                            cover_edit_range(source.syntax(), r.range),
-                            vec![make.name_ref(&index.to_string()).syntax().clone().into()],
-                        );
-                    }
+                if let Some(name_ref) = r.name.as_name_ref()
+                    && name_ref.syntax().parent().and_then(ast::FieldExpr::cast).is_some()
+                    && seen.insert(r.range)
+                {
+                    editor.replace_all(
+                        cover_edit_range(source.syntax(), r.range),
+                        vec![make.name_ref(&index.to_string()).syntax().clone().into()],
+                    );
                 }
             }
 
@@ -1302,6 +1308,23 @@ pub struct $0Foo {
 "#,
             r#"
 pub struct Foo(#[my_custom_attr]u32);
+"#,
+        );
+    }
+
+    #[test]
+    fn field_ref_in_macro_expanding_arg_twice() {
+        check_assist(
+            convert_named_struct_to_tuple_struct,
+            r#"
+struct $0Foo { x: i32 }
+macro_rules! m { ($e:expr) => { ($e, $e) }; }
+fn f(foo: Foo) { m!(foo.x); }
+"#,
+            r#"
+struct Foo(i32);
+macro_rules! m { ($e:expr) => { ($e, $e) }; }
+fn f(foo: Foo) { m!(foo.0); }
 "#,
         );
     }
diff --git a/crates/ide-assists/src/handlers/convert_tuple_struct_to_named_struct.rs b/crates/ide-assists/src/handlers/convert_tuple_struct_to_named_struct.rs
index a6a47d78a8e0..0ea6bd938146 100644
--- a/crates/ide-assists/src/handlers/convert_tuple_struct_to_named_struct.rs
+++ b/crates/ide-assists/src/handlers/convert_tuple_struct_to_named_struct.rs
@@ -1,5 +1,6 @@
 use either::Either;
 use ide_db::{
+    FxHashSet,
     defs::{Definition, NameRefClass},
     search::FileReference,
 };
@@ -154,9 +155,12 @@ fn edit_struct_references(
     for (file_id, refs) in usages {
         let source = ctx.sema.parse(file_id);
         let editor = edit.make_editor(source.syntax());
-
+        // a macro expanding $e twice yields two FileReferences with identical source ranges
+        let mut seen = FxHashSet::default();
         for r in refs {
-            process_struct_name_reference(ctx, r, &editor, &source, &strukt_def, names);
+            if seen.insert(r.range) {
+                process_struct_name_reference(ctx, r, &editor, &source, &strukt_def, names);
+            }
         }
 
         edit.add_file_edits(file_id.file_id(ctx.db()), editor);
@@ -285,9 +289,12 @@ fn edit_field_references(
         for (file_id, refs) in usages {
             let source = ctx.sema.parse(file_id);
             let editor = edit.make_editor(source.syntax());
+            // a macro expanding $e twice yields two FileReferences with identical source ranges
+            let mut seen = FxHashSet::default();
             for r in refs {
                 if let Some(name_ref) = r.name.as_name_ref()
                     && let Some(original) = ctx.sema.original_range_opt(name_ref.syntax())
+                    && seen.insert(r.range)
                 {
                     editor.replace_all(
                         cover_edit_range(source.syntax(), original.range),
@@ -1345,4 +1352,21 @@ impl T2 for S {
             "#,
         );
     }
+
+    #[test]
+    fn field_ref_in_macro_expanding_arg_twice() {
+        check_assist(
+            convert_tuple_struct_to_named_struct,
+            r#"
+struct $0Foo(i32);
+macro_rules! m { ($e:expr) => { ($e, $e) }; }
+fn f(foo: Foo) { m!(foo.0); }
+"#,
+            r#"
+struct Foo { field1: i32 }
+macro_rules! m { ($e:expr) => { ($e, $e) }; }
+fn f(foo: Foo) { m!(foo.field1); }
+"#,
+        );
+    }
 }
diff --git a/crates/ide-assists/src/handlers/destructure_struct_binding.rs b/crates/ide-assists/src/handlers/destructure_struct_binding.rs
index 2b5b2ca13bb4..24fc6e925e16 100644
--- a/crates/ide-assists/src/handlers/destructure_struct_binding.rs
+++ b/crates/ide-assists/src/handlers/destructure_struct_binding.rs
@@ -360,9 +360,12 @@ fn update_usages(
     field_names: &FxHashMap<SmolStr, SmolStr>,
 ) {
     let source = ctx.source_file().syntax();
+    // a macro expanding $e twice yields two FileReferences with identical source ranges
+    let mut seen = FxHashSet::default();
     let edits = data
         .usages
         .iter()
+        .filter(|r| seen.insert(r.range))
         .filter_map(|r| build_usage_edit(ctx, editor.make(), data, r, field_names))
         .collect_vec();
     for (old, new) in edits {
@@ -1034,6 +1037,29 @@ fn main() {
     let Foo { y } = Foo { y: 8 };
     write!(s, "{}", y).unwrap();
 }
+"#,
+        )
+    }
+
+    #[test]
+    fn struct_field_in_macro_expanding_arg_twice() {
+        check_assist(
+            destructure_struct_binding,
+            r#"
+struct Foo { x: i32 }
+macro_rules! m { ($e:expr) => { ($e, $e) }; }
+fn main() {
+    let $0foo = Foo { x: 1 };
+    m!(foo.x);
+}
+"#,
+            r#"
+struct Foo { x: i32 }
+macro_rules! m { ($e:expr) => { ($e, $e) }; }
+fn main() {
+    let Foo { x } = Foo { x: 1 };
+    m!(x);
+}
 "#,
         )
     }
diff --git a/crates/ide-assists/src/handlers/destructure_tuple_binding.rs b/crates/ide-assists/src/handlers/destructure_tuple_binding.rs
index a272351e134c..6c7bb6fdfaaf 100644
--- a/crates/ide-assists/src/handlers/destructure_tuple_binding.rs
+++ b/crates/ide-assists/src/handlers/destructure_tuple_binding.rs
@@ -1,4 +1,5 @@
 use ide_db::{
+    FxHashSet,
     assists::AssistId,
     defs::Definition,
     search::{FileReference, SearchScope},
@@ -250,11 +251,14 @@ fn edit_tuple_usages(
     // tree mutation in the same file breaks when `builder.edit_file`
     // is called
 
+    // a macro expanding $e twice yields two FileReferences with identical source ranges
+    let mut seen = FxHashSet::default();
     let edits = data
         .usages
         .as_ref()?
         .as_slice()
         .iter()
+        .filter(|r| seen.insert(r.range))
         .filter_map(|r| edit_tuple_usage(ctx, make, r, data, in_sub_pattern))
         .collect_vec();
 
@@ -1652,6 +1656,26 @@ macro_rules! m {
 fn main() {
     let t @ ($0_0, _1) = (1,2);
     m!(t, _0);
+}
+                "#,
+            )
+        }
+
+        #[test]
+        fn tuple_index_in_macro_expanding_arg_twice() {
+            check_in_place_assist(
+                r#"
+macro_rules! m { ($e:expr) => { ($e, $e) }; }
+fn main() {
+    let $0t = (1,);
+    m!(t.0);
+}
+                "#,
+                r#"
+macro_rules! m { ($e:expr) => { ($e, $e) }; }
+fn main() {
+    let ($0_0,) = (1,);
+    m!(_0);
 }
                 "#,
             )