Some of the potential causes of code P2159 include:
1. Faulty VTEC solenoid
2. Malfunctioning VTEC oil pressure switch
3. Stuck VTEC valve
4. Wiring issues related to the VTEC system
5. Faulty ECU (Engine Control Unit)
To diagnose and fix this issue, it is recommended to refer to the service manual for Honda Accord 2003, as the exact steps may vary depending on the specific model and year. You may need to perform tests and inspections of the VTEC system components, such as the solenoid, oil pressure switch, and wiring, to identify the root cause of the malfunction. Additionally, you may need specialized tools and expertise to properly diagnose and repair the VTEC system, so it is advisable to consult with a qualified mechanic or automotive technician who is familiar with Honda vehicles.