diff --git a/src/index.js b/src/index.js
index 153261d..9b4e840 100644
--- a/src/index.js
+++ b/src/index.js
@@ -97,7 +97,11 @@ export default ({
 
     const hotAcceptStatement = t.ifStatement(test, consequent);
 
-    firstNonImportDeclarationNode.insertBefore(hotAcceptStatement);
+    if (firstNonImportDeclarationNode) {
+      firstNonImportDeclarationNode.insertBefore(hotAcceptStatement);
+    } else {
+      programPath.pushContainer('body', hotAcceptStatement);
+    }
   };
 
   const getTargetResourcePath = (path: Object, stats:Object) => {
diff --git a/test/fixtures/react-css-modules/adds module hot accept for CSS imports when file only contains import statements/actual.js b/test/fixtures/react-css-modules/adds module hot accept for CSS imports when file only contains import statements/actual.js
new file mode 100644
index 0000000..e9b384c
--- /dev/null
+++ b/test/fixtures/react-css-modules/adds module hot accept for CSS imports when file only contains import statements/actual.js	
@@ -0,0 +1 @@
+import './bar.css';
diff --git a/test/fixtures/react-css-modules/adds module hot accept for CSS imports when file only contains import statements/bar.css b/test/fixtures/react-css-modules/adds module hot accept for CSS imports when file only contains import statements/bar.css
new file mode 100644
index 0000000..5512dae
--- /dev/null
+++ b/test/fixtures/react-css-modules/adds module hot accept for CSS imports when file only contains import statements/bar.css	
@@ -0,0 +1 @@
+.a {}
diff --git a/test/fixtures/react-css-modules/adds module hot accept for CSS imports when file only contains import statements/expected.js b/test/fixtures/react-css-modules/adds module hot accept for CSS imports when file only contains import statements/expected.js
new file mode 100644
index 0000000..1f95db4
--- /dev/null
+++ b/test/fixtures/react-css-modules/adds module hot accept for CSS imports when file only contains import statements/expected.js	
@@ -0,0 +1,7 @@
+import './bar.css';
+
+if (module.hot) {
+  module.hot.accept('./bar.css', function () {
+    require('./bar.css');
+  });
+}
diff --git a/test/fixtures/react-css-modules/adds module hot accept for CSS imports when file only contains import statements/options.json b/test/fixtures/react-css-modules/adds module hot accept for CSS imports when file only contains import statements/options.json
new file mode 100644
index 0000000..a1ca807
--- /dev/null
+++ b/test/fixtures/react-css-modules/adds module hot accept for CSS imports when file only contains import statements/options.json	
@@ -0,0 +1,11 @@
+{
+  "plugins": [
+    [
+      "../../../../src",
+      {
+        "generateScopedName": "[name]__[local]",
+        "webpackHotModuleReloading": true
+      }
+    ]
+  ]
+}