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Due to the growing complexity of mechanical, electrical and plumbing (MEP) functions, the design, production and installation of hanger based on MEP has become low efficiency in traditional ways. Compared with the Computer-Aided Design (CAD) approach, the MEP hanger three-dimensional (3D) design approach has not received adequate attention in the process of engineering practice. Based on Building Information Modeling (BIM) and Revit secondary development technology, an automatic generation construction shop design model system of MEP hanger (MEP hanger-CDM) for the quick placement of hanger components, automatic grouping of hanger components and hanger component constructability checking was developed. By conducting investigations with the construction companies and construction sites in China, four basic forms of MEP hanger layouts were identified to accommodate different types of MEP layouts. In addition, the design requirements of the family of LOD 400 BIM models were summarized along with the analysis of user requirements. The results of the case studies indicate a 70% reduction in the manpower number on the MEP hanger shop design and an 85.9% reduction in the number of working hours. Moreover, the efficiency of the hanger construction model design and the accuracy of the output of material lists and shop drawings could be improved. Thus, the process of designing MEP hanger could be optimized in a visualized method.