I wouldn't know about Accords but for Civic finding a manual tranny ECU for D15B 3 stage VTEC in specific is very hard to come by.
There have been some examples of swaps where they retained the obd2 auto ECU and still manage to operate both VTEC-E & VTEC on the D15B 3 stage. Some wiring needed to be done to trick the ECU that everything is OK whilst using manual tranny.
Last night I tested this again on my 2b ECU by unplugging the 8 pin solenoid harness connector to simulate limp mode for the CVT.
The engine didn't throw a CEL but D indicator blinks constantly whilst still in P. The car will start. The manual states the CVT can still operate on full manual mode i.e. without TCM control / limp mode. I believe the same can be done on the Accord's auto ECU.
Changing to manual ECU is still the best option though auto ECU will suffice to some degree. Manual ECU will need 5 wire wideband O2 and 2 wire IACV as opposed to 4 wire narrowband O2 and 3 wire IACV.
I personally own a 37820-P2J-003 obd2a Manual ECU for my motor but I reckon maintaining the 2b auto ECU would be a quicker/cheaper route. I'm keeping the 003 just in case I really need it.