A piston valve assembly for a shock absorber is disclosed. In a high-frequency mode, a damping force control is achieved through an open passage that is always opened. In a low-frequency mode, a guide assembly moves downward due to an increase in a pressure of a first pressure chamber by a fluid moved through an inlet hole of the first pressure chamber. At this time, the guide assembly blocks the open passage and the damping force control is achieved through only a rebound passage. Consequently, it is possible to solve a fluid bottle neck through a passage formation. A disk is installed on the inlet hole to prevent a continuous increase in the pressure of the first pressure chamber, thereby effectively preventing the reduction of the damping force.