I just got pages added in Montevideo, Uruguay. So you can do it. However, this is what is new. As it used to be free, now adding pages costs $82, cash.
Also, dont just go to the consulate as you may be wasting your time. In Uruguay, I had to make an appointment online. There were 2 appointments available per day, for only three days each week. So, they will see only 6 US citizens a week for new passport pages and charge you 82 bucks for the privilege. Your government and you tax dollars at work.................
The good thing is that they added the new pages while I waited.
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