Wiki 64640 can this cpt be reported more than once on a dos?

[Robbins94]

I have 64640-LT X3, and the VA denied lines two and three because they are "duplicates", all three injection sites are on the left side. Would I add modifier 79 to lines two and three? Optum gives no edits when reporting this cpt 3 times.

 

[Orthocoderpgu]

It has an MUE of 5. On the second and third lines you would want to add -59 or -XS to show that it's an additional procedure.