diff --git a/compiler/rustc_parse/src/parser/item.rs b/compiler/rustc_parse/src/parser/item.rs
index 26f60c96aed6b..ea713b3cdade2 100644
--- a/compiler/rustc_parse/src/parser/item.rs
+++ b/compiler/rustc_parse/src/parser/item.rs
@@ -408,6 +408,7 @@ impl<'a> Parser<'a> {
         let insert_span = ident_span.shrink_to_lo();
 
         let ident = if self.token.is_ident()
+            && self.token.is_non_reserved_ident()
             && (!is_const || self.look_ahead(1, |t| *t == token::OpenParen))
             && self.look_ahead(1, |t| {
                 matches!(t.kind, token::Lt | token::OpenBrace | token::OpenParen)
diff --git a/tests/ui/parser/macro/kw-in-const-item-pos-recovery-149692.rs b/tests/ui/parser/macro/kw-in-const-item-pos-recovery-149692.rs
new file mode 100644
index 0000000000000..58bb62bc4bf86
--- /dev/null
+++ b/tests/ui/parser/macro/kw-in-const-item-pos-recovery-149692.rs
@@ -0,0 +1,11 @@
+//! More test coverage for <https://github.com/rust-lang/rust/issues/149692>; this test is
+//! specifically for `const` items.
+
+macro_rules! m {
+    (const $id:item()) => {}
+}
+
+m!(const Self());
+//~^ ERROR expected one of `!` or `::`, found `(`
+
+fn main() {}
diff --git a/tests/ui/parser/macro/kw-in-const-item-pos-recovery-149692.stderr b/tests/ui/parser/macro/kw-in-const-item-pos-recovery-149692.stderr
new file mode 100644
index 0000000000000..f9b73109dbb49
--- /dev/null
+++ b/tests/ui/parser/macro/kw-in-const-item-pos-recovery-149692.stderr
@@ -0,0 +1,11 @@
+error: expected one of `!` or `::`, found `(`
+  --> $DIR/kw-in-const-item-pos-recovery-149692.rs:8:14
+   |
+LL |     (const $id:item()) => {}
+   |            -------- while parsing argument for this `item` macro fragment
+...
+LL | m!(const Self());
+   |              ^ expected one of `!` or `::`
+
+error: aborting due to 1 previous error
+
diff --git a/tests/ui/parser/macro/kw-in-item-pos-recovery-149692.rs b/tests/ui/parser/macro/kw-in-item-pos-recovery-149692.rs
new file mode 100644
index 0000000000000..223864e332966
--- /dev/null
+++ b/tests/ui/parser/macro/kw-in-item-pos-recovery-149692.rs
@@ -0,0 +1,19 @@
+//! Regression test for a diagnostic ICE where we tried to recover a keyword as the identifier when
+//! we are already trying to recover a missing keyword before item.
+//!
+//! See <https://github.com/rust-lang/rust/issues/149692>.
+
+macro_rules! m {
+    ($id:item()) => {}
+}
+
+m!(Self());
+//~^ ERROR expected one of `!` or `::`, found `(`
+
+m!(Self{});
+//~^ ERROR expected one of `!` or `::`, found `{`
+
+m!(crate());
+//~^ ERROR expected one of `!` or `::`, found `(`
+
+fn main() {}
diff --git a/tests/ui/parser/macro/kw-in-item-pos-recovery-149692.stderr b/tests/ui/parser/macro/kw-in-item-pos-recovery-149692.stderr
new file mode 100644
index 0000000000000..a65214b0d1f93
--- /dev/null
+++ b/tests/ui/parser/macro/kw-in-item-pos-recovery-149692.stderr
@@ -0,0 +1,29 @@
+error: expected one of `!` or `::`, found `(`
+  --> $DIR/kw-in-item-pos-recovery-149692.rs:10:8
+   |
+LL |     ($id:item()) => {}
+   |      -------- while parsing argument for this `item` macro fragment
+...
+LL | m!(Self());
+   |        ^ expected one of `!` or `::`
+
+error: expected one of `!` or `::`, found `{`
+  --> $DIR/kw-in-item-pos-recovery-149692.rs:13:8
+   |
+LL |     ($id:item()) => {}
+   |      -------- while parsing argument for this `item` macro fragment
+...
+LL | m!(Self{});
+   |        ^ expected one of `!` or `::`
+
+error: expected one of `!` or `::`, found `(`
+  --> $DIR/kw-in-item-pos-recovery-149692.rs:16:9
+   |
+LL |     ($id:item()) => {}
+   |      -------- while parsing argument for this `item` macro fragment
+...
+LL | m!(crate());
+   |         ^ expected one of `!` or `::`
+
+error: aborting due to 3 previous errors
+