diff --git a/Modules/_heapqmodule.c b/Modules/_heapqmodule.c
index 38bcdbe72cf..04845f165aa 100644
--- a/Modules/_heapqmodule.c
+++ b/Modules/_heapqmodule.c
@@ -224,6 +224,11 @@ heappushpop(PyObject *self, PyObject *args)
         return item;
     }
 
+    if (PyList_GET_SIZE(heap) == 0) {
+        PyErr_SetString(PyExc_IndexError, "index out of range");
+        return NULL;
+    }
+
     returnitem = PyList_GET_ITEM(heap, 0);
     Py_INCREF(item);
     PyList_SET_ITEM(heap, 0, item);