As a thought experiment, imagine Lisp without macros. It's not hard; after all, "The Little Schemer" covers metacircular interpretation without ever mentioning macros. So what's going on? Apparently we don't need macros! But, we could add macros to a Lisp by reifying them in the metacircular interpreter. There's actually a feature in plain sight which makes this possible, and it's the humble (quote) special form. This is what makes code and data intermix so cleanly in Lisp.
This is why languages like Julia and Monte are not shy about using "homoiconic" to describe their language design; a standard library compiler is just as good as a compiler in the core semantics, as long as it's easy to use and meshes well with the rest of the language.